Phonopreamps.com eBayfaxform 
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Using your credit card to pay by fax is VERY secure; unless your phone is tapped,
no one but you and one person on our end will ever see your faxed credit card info.
Fill out this form completely, then use Window's PRINT TO FAX feature to send it to us 
toll-free at 877-636-6417 (or you can simply print the form and fax it manually).

 

Auction Info
   eBay Listing Number:             Price or Winning Bid:      
  Quantity purchased:                 Subtotal (price x quantity):
  Brief Item Description:            Shipping charge:                
  Date of  purchase:                    Total:                                      

Shipping info:

Payment info:

    Name:                                       

   Phone #:              

    E-mail address:                       

   Credit card type:   number:

    Street or P.O Box #:              

   Card expiration: 

    City or town:                           
    State or province:                    postal code:

   (fill in only if different from shipping info)
   Cardholder name:       
   Cardholder address:   

    Cardholder Signature (disregard if using PRINT TO FAX):

   Card verification number (3 or 4 digits):   

 

Phonopreamps.com faxform