AttitudeTees.com Fax Order Form

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Complete this form online, print it, sign it and fax it to: 414-483-1930

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Billing Address - Must match the address on your credit card account.

Name:
Address:

City:

State:

Zip Code:

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Shipping Address - Fill out this section only if different than the Billing Address.

Name:
Address:

City:

State:

Zip Code:

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Email address:

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Item Number	Size	Quantity	Description	Price
Shipping and Handling
Sales Tax (Wisconsin residents add 5.6%)
TOTAL

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Credit Card Number:     CVV2
Expiration Date: Month010203040506 070809101112 Year20012002200320042005200620072008	Card Type: Select TypeMaster CardVisaAmerican Express
Person's Name on Credit Card (not bank name):
Signature of cardholder (required): X

What is a CVV2?
"CVV" stands for Card Verification Value.

	The three-digit number on the back of most credit cards, such as Visa, Mastercard, and Discover cards (Cardmember ID).
	It is a four-digit number on the front of American Express cards.

 
IMPORTANT: YOU MUST SIGN THE FORM ABOVE BEFORE YOU FAX IT.
IF YOU DO NOT SIGN THE FORM YOUR ORDER WILL NOT BE PROCESSED!