Video Surveillance-Spy Equipment-Mail Order Form
USA Orders Only--Print This Page
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Check One:
Bank Check____
Money Order____
Visa____
Master Card____
Discover____
Credit Card #___________________________________Expiration Date______________
Signature______________________________ CVV___________
Mail To:
Products Galore USA
P.O. BOX 11171
Pittsburgh, Pa. 15237
Phone: 412-758-7771
www.videosurveillance-spyequipment.com
info@videosurveillancespyequipment.com
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Quantity Item# Product Description Price Each Total
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Shipping Address
Name:_______________________________________ Subtotal _______________
Free Shipping _______________
Address:_______________________________________
Pa. orders 6.00% sales tax
Allegheny County 7% tax _________________
City:________________State:__________Zip:_________
Total ______________
Phone:_________________________________________
______________________________________________________________________________________
Method of Payment:
Make check payable to Products Galore USA . If you are paying with a credit card we accept
Mastercard-Visa-Discover. We only ship to the billing address of the credit card,
due to the high risk of credit card fraud Please Print Clearly.