Order form

BestAMP.com USA

BestAMP.com	Phone: (888)210-2020	For office use:
Best American Marketplace, Inc.	Fax: (888)210-2020	Date Received
The Online Warehouse Shopping	E-mail: sales@bestamp.com	Issued. Inv. No.:

ORDER FORM

Full Name		Phone Number
Company Name		E-mail Address
Street Address		Apt / Suite
City		State / Zip

Shipping Address if different from above:

Street Address		Apt / Suite
City		State / Zip

Check payment method (Click on the Box)

Visa Master Card AM. Express Check Money Order Other

Full Name as it appears on your credit card statement

Credit Card Number

Expiration Date

Bank that issued Card

Please note that shipment will not be made to P.O.Boxes. Credit Card and Shipping Addresses must be the same.

Product Order Information

Quantity	Model No.	Description of Product	Unit Price	Total

	Subtotal
For Free Shipping and S&H rates see Shipping Info.	Shipping Charges
CA. Residents add Sales Tax	Sales Tax
	Total (U.S.Dollars)

If you need to order more products please use a separate form.

You may copy this Order Form and fax or mail it to us

Use space below for Options or Special instruction:

I hereby authorize BestAMP.com or its Subsidiaries to ship the above products order to the address provided, and charge my account if payment made by credit card.

Card Holder Signature if faxed or mailed X______________________