CREDIT CARD ORDER FORM
Name on Credit Card: __________________________________________________
CREDIT CARD ORDER FORM
Name on Credit Card:
__________________________________________________
Your Name if different than name on credit card______________________________
Credit Card Billing Address:______________________________________________
City-State-Postal Code: __________________________________________________
Shipping Address:
_____________________________________________________
City-State-Zip: __________________________________________________________
Your e-mail address (required):
__________________ ***Phone Number___________ Credit Card Number__________________________ Expiration Date ____________C V V 2 Credit Card Security Verification
Code on Back of Card __________
(*if you don't know what this is, see http://www.leatherheat.com/code.htm
)
Type of Card <> VISA or MasterCard or American Express or Discover (Circle One)
Your WRITTEN Signature authorizing these charges to your credit card___________________________
Your signature certifies that you authorize
All by Nature or All American Stores to charge the amount listed in the total
column to your credit card as payment for goods or services as itemized below.
| ITEM | DESCRIPTION | QTY | PRICE | TOTAL |
Kansas Residents add SALES TAX
(SUBTOTAL x 7%)
__________
SHIPPING AND HANDLING (USA)
($1 - $100 = $5.95) ($101 - $200 = $8.95) ($201 - $300+ = $11.95)
______________
Outside USA Shipping Costs:
($1 - $100 = 25) ($101 - $200 = $30.00) ($201+ = $35)
TOTAL _____________________
All by Nature - All American
Stores - 2250 N Rock Road Suite 118-118H Wichita, KS 67226 USA
*Note: On
non-USA customer. purchases over $100, copies of the front and back of credit
card must be mailed or faxed with this form
**ALL International Customers must mail or fax copies of the front and
back of their credit card on all orders**
*If shipping address is different than credit card billing address,
both addresses must be provided for verification
**ALL International Customers must mail or fax copies of the front and
back of their credit card on all orders**
***PHONE NUMBER IS REQUIRED FOR ALL ORDERS FROM OUTSIDE OF USA
*If shipping address is different than credit
card billing address, both addresses must be provided for verification
To order - print out this form and mail or fax to this address
All by Nature - All American Stores
2250 N. Rock Road, Suite 118-118H
Wichita, Kansas 67226 USA
FAX 316-682-6338
NOTE: It is NOT necessary to use this form
in order to make a purchase with your credit card - This form is for use by
customers who for whatever reason would prefer not to send their credit card
information over the internet.
Our Online stores and Shopping Carts are SSL Secure and protected by GlobeCharge
Secure Ordering Systems, however, if you would still prefer to mail in your
credit card information, then feel free to use this mail-fax form.
International Customers who wish to use their credit card may apply for a credit application by using the following procedures.
1. You should mail or fax a copy of the front of your
credit card and a copy of the back of your credit card. The credit card number and
the signature must be clearly visible. You should also mail or fax your order and
sign the order with your signature. Be sure to add in and include all of the
international shipping costs to the base price of your order. Also include the billing
address of the credit card, and the shipping address if the shipping address
is different from the credit card billing address. and the expiration date, and
the credit card security code on the back of the card, plus your email address and your
own PHONE number (and FAX number if you are faxing the order) and
sign the form with your signature..
International Shipping Costs: ($1 - $100 = 25) ($101 - $200 =
$30.00) ($201+ = $35.00) You may also mail this information if you are unable to
access or utilize the FAX system of either party. The shipping costs listed above
include all costs for air mail and insurance.
The mailing address is >
All American Stores - 2250 N Rock Road - Suite 118-118H - Wichita, Kansas 67226 - USA
For appropriate customer service contacts and fax number information email
your order
inquiry
*NOTE: Credit Card Orders cannot be processed or authorized in all countries. Notice to customers located outside of the USA = It is the customer's responsibility to be aware of the customs laws and regulations of his or her own country. Any shipments or products seized or destroyed by law or the customs service of any country are considered the customers responsibility and are non-refundable
Domestic USA Customers who wish to use their credit card may use any of the online secure shopping carts. If for some reason a USA customer is unable to use one of the secure online shopping carts or cannot access the Globe Charge and ShopFactory credit card system, or would simply prefer not to send credit card information over the internet even though our online ordering systems, are extremely safe and secure, you may mail or fax your credit card order and All American Stores Online can process the order for you.
1. After completing this form, you should
should mail and fax your order and don't forget to sign the
order with your signature. Be sure to add in and include all of the shipping costs
to the base price of your order. Also include the billing address of the
credit card and the expiration date, and the credit card security code on the
back of the card, plus your email address and your own fax number and
or phone number, and the shipping address if the shipping address is different
from the credit card billing address.
sign the form with your signature..
USA Shipping = ($1 - $100 = $5.95) ($101 - $200 = $8.95)
($201 - $300 = $11.95) ($301 and Up = $14.95)
You may also mail this information if you are unable to access or utilize the fax system
of either party. The shipping costs listed above include all costs for mailing and
insurance..
The mailing address is >
All American Stores - 2250 N Rock Road - Suite
118-118H - Wichita, Kansas 67226
For appropriate customer service contacts and fax number information email
your order
inquiry
Internet Credit Card and Check
Processing
Merchant Order Processing and Customer Service
All American Stores Online Merchant Services
Note: All American Stores Online is a payment processing and customer service center for internet merchants. AASO verifies credit cards, personal checks and other forms of payment, and provides other services for merchants for a fee. In return, AASO guarantees safe credit card transactions and check processing and then delivers your order directly to the company for processing and order shipment. Initial customer service contacts and order questions should be directed to Customer Service communications who will forward your inquiry on to the appropriate company's customer service representative.
NOTE: THIS FORM IS ONLY FOR CUSTOMERS WHO DO NOT WISH TO PLACE AN ORDER OVER THE INTERNET THROUGH ONE OF OUR SSL SECURE ONLINE SHOPPING CART STORES AND WOULD PREFER INSTEAD TO SEND THEIR ORDER BY FAX TRANSMISSION OR TO MAIL THEIR ORDER IN THE OLD FASHION WAY BY USING REGULAR POSTAL MAIL - BOTH WAYS ARE SAFE AND SECURE BUT ITS YOUR CHOICE