This International Order Form Can Be Faxed or Mailed to:Silvermane, 149 Washington St, Haverhill, MA 01832, USA
24-Hour Fax: +1 978 374 7635 Address: Name:___________________________________________________________________________ Address Line 1:_________________________________________________________________ Address Line 2:_________________________________________________________________ Postal Code: ________________ Country: ___________________________________________ Phone:__________________________________ E-Mail: ______________________________ Model Number Description Qty Price Total _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Subtotal: __________________ Shipping & Handling: __________________ Total: __________________ --------------------------------------------------------------------------------- Charge to my ___ Visa _____ Mastercard _____ Discover _____ AMEX Card No.: ____________________________ CVV2 No.: _____ Expiration Date: ____/____ Names as it appears on card: ____________________________________________________ Signature: _______________________________ --------------------------------------------------------------------------------- Sign below if ordering any type of weapon: I certify that I am at least 18 years of age and that having checked with customs and law enforcement agencies in my country, I find that import and possession of the item(s) I am ordering does not violate any laws in my country. Signature: _________________________________________________ --------------------------------------------------------------------------------- The following statement must be signed before any international order will be processed: I understand that international shipping charges will not under any circumstances be refunded unless the carrier refunds shipping charges to Silvermane. This includes, but is not limited to, orders that are returned by customs or returned by the customer regardless of reason. Signature: __________________________________________________ --------------------------------------------------------------------------------- Make International Money Orders payable in US funds only to: Silvermane E-mail orders@silvermane.com for international shipping charges.
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