Card-Link Printable Mail Order Form
Mail Orders:
Steele Creek Technologies, Inc.
1930 Cornwallis Parkway
Cape Coral FL 33904
 
Phone or Fax Orders:
(704) 588-1780
Date: _____________________
Ship to Name: _________________________________________
Address: _________________________________________
City: _________________________________________
State: ______
Zip Code: ______________

 

Please make Checks or Money Orders payable to: Steele Creek Technologies, Inc. 
Returns: Return within 30 days for full refund.

 

Qty Item Unit Price Total
________ ______________________ _________ $________
________ ______________________ _________ $________
________ ______________________ _________ $________
________ ______________________ _________ $________
________ ______________________ _________ $________
Disk Size: __ 3.5 __ 5.25 Sub Total: $________
N.C. Res. Add 6%...: $________
* If paying by check, please call for amount. We will figure shipping charges for credit card orders. *Shipping/ Handling..: $________
Totals: $________
DO NOT E-MAIL THIS FORM!
Charge my Credit Card
Circle one: VISA / MasterCard
Credit Card Account Number:
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

Authorized signature:__________________________Exp. date:__________________

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