Please Print this form and Fax it to:

 1-800-810-0668

24 hours a day / 7 days a week
Orders are processed promptly

To Use Secure Server Click Here
NEW! Get $5.00 INSTANT Rebate When You Use "Pay Pal" To Order Your Easel!
For Visa & Master card

*Please be sure all the information has been filled out correctly & completely.*

Billing Information:

Method of payment
Please circle one

Master Card    Visa    American Express    Discover

C.O.D.(money order only)      Check By Fax

Please enter 16 digit Credit Card number in spaces provided below

_ _ _ _ -_ _ _ _- _ _ _ _-_ _ _ _
 

enter credit card expiration date below

_ _ / _ _

Name on Credit Card

 First Name __________________________Last Name______________________________

Area Code (_ _ _)  Phone Number _ _ _ - _ _ _ _

Billing Address on Credit Card
Address_____________________________________________________________________

City__________________________________________State__________________________

Country_________________________________________________

Check By Fax

We electronically debit your checking account. All check orders must clear before shipment.

Please make check payable to: A-1 Easel Man
 

to ensure we get the correct information please tape your check here

Natural        Mahogany
 

Quantity of Easels Ordering today

QTY.__________________

Shipping Information:

Ship To:

Name__________________________________________________________________

Shipping Address:

City_______________________________________________State_________________
 

Country_________________________________
 
 

Credit Card orders Total for one easel Shipped in the USA =  $125.00

C.O.D. orders require an additional $10 processing fee. C.O.D. Total = $ 135.00

For orders shipped in the USA

Orders shipped in California require State tax of 8.25% extra on all orders.

T h a n k   Y o u   f o r   Y o u r  O r d e r !!
click here to use a Secure Server to pay with Visa or Master Card.

A-1 Easel Man
U S A