PAXworks Product Order form: NOTE: this form is not interactive . print & fax, mail or call us! Thank you |
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| SEND/fax with payment TO: PAXworks P.O. Box 502244 - Indianapolis, IN 46250-7244 | |
| Name/Company | WEB - www.paxworks.com |
| Address (A street address is needed for shipping) | |
| Phone 317 842 2997 Fax 317 842 2954 (fax only if using credit card) | |
| City State Zip Country | |
| Phone Fax Email | |
| STANDARD SHIPPING is UPS/USPS ground in continental U.S. (A street address is needed for shipping.) for FREEnotes WING Add $24; for BASE & PEGASUS add $38. Call/EMAIL for other shipping methods. | |
| ___Master Card___ VISA _____ check/m.o. (US $) please click for important credit card message* | |
| Exact name on card | |
| Address (if different than above) | |
| Acct number* expiration date ____/____ | |
| Signature of account holder | |