AbsoluteMarketing.Net Online Faxable Order Form

You may type info into this form online or print & fill in the form off line. Select print then fax or mail this order form to the fax number or Address.

Fax To 1-978-824-9508 / 24 HOUR SECURE FAX LINE Send E mail To : Sales@AbsoluteMaraketing.Net

Pay by check option (allow 7-10 days for checks to clear before processing order) You may choose to mail this order form to the above address Below

NAME

ADDRESS

CITYSTATEZIP

PHONEEMAIL

CREDIT CARD ( Visa, MasterCard, Discover, Amex )

Credit Card #

EX DATE

Please Provide Credit Card 3 or 4 Digit Verification # Listed on back right of your Credit Card

Credit Card Billing Address

Check If same as above If not please list below

Name as it appears on your Credit Card

Billing Address

QTY	PRODUCT #	D I S C R I P T I O N	PRICE	TOTAL




If you wish to order additional items please attach to this Fax

Please use this space for additional comments & Info	Sub Total

	Shipping
	Total
SIGNATURE_____________________________ A SIGNATURE IS REQUIRED TO PROCESS ORDER & WILL CONSTITUTE THIS AS YOUR AGREEMENT TO PAY TOTAL. Additional shipping & handling fees may apply on over sized orders or packages. Customer is responsible for any additional duties or taxes after orders have shipped. Prices subject to change without notice