USA DISTRIBUTOR: Mail or fax completed product order form to: DYNAMIC FITNESS; 19319 EDWARDS RD E, LAKE TAPPS WA 98391-9312 PHONE (734) 425-2862 or (253) 862-8820; FAX (734) 943-6423 E - MAIL:
[email protected] WEB: http://www.dynamicfitnessequipment.com Please contact Dynamic Fitness by phone or e-mail to receive a quote on International shipping charges, shipping charges for multiple items or items for which the shipping charges are not listed.
Product Order Form UNIT PRICE PLUS SHIPPING
ITEM
QTY
TOTAL
PURCHASE TOTAL PAYMENT METHOD: CHECK
CHECK NUMBER______________________________________________________
MASTERCARD EXP. DATE__________
VISA
AMERICAN EXPRESS
CARD CCV#_______ NUMBER_________________________________________
______________________________________________________________________ ADDRESS ______________________________________________________________________ ______________________________________________________________________ NAME
PHONE NUMBER____________________________________________________________ SIGNATURE___________________________________________________ DATE___________
Where to find the Credit Card Verification Code (CCV) For VISA and MasterCard the number is the last 3 digits (usually set off by themselves) in the Signature Panel area on the back of the credit card.
For American Express, look for a 4-digit number printed above your account number on the face of the card.
What is the purpose of this number? This number is used when processing payment to verify that a customer actually has the credit card in their possession.
