Customer Information

Your entry must match the name and address on your credit card, or your bank may decline the offer. All information is kept confidential unless you tell us otherwise. Your telephone or fax number helps us contact you for technical and billing questions.
ALL TEXT IN RED IS REQUIRED TO BE FILLED OUT.
THANK YOU


LAST NAME


FIRST NAME

 


BUSINESS OR ORGANIZATION (optional)


STREET ADDRESS


CITY

ZIP/POSTAL


STATE

 


COUNTRY

(international orders gladly accepted!)

TELEPHONE

 


FAX (optional)

Item number

Quantity

Price

Sum

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MA. taxes

 

   

shipping

handling

$ 5.00

   

total

IF your payment is by check here

Allow three weeks for orders by check.

Just fill this form out, before you submit it print it out (2 copies) one for your records and one to send with your check, then just submit the form.


Most Credit cards orders are shipped same day as stock on hand.

Email Address

Example: yourname@abc.com

Your Email Address:

Payment Information

All of your payment information is kept strictly confidential. Payments are processed using secure, encrypted connections.

CARD TYPE:

CARD NUMBER:

CARD EXPIRES:

Where Did You Hear About Eagle's Edge?

Please let us know how you found out about "Eagle's Edge".

Yahoo!
Other Search Engine
Links Page
Friend or Colleague
Other:

Please read the following conditions of use. Submitting your order implies agreement to these conditions.