MC/Visa/Discover:
Located on back |
| Credit Card Number | --- | ||
| Expiration Date (mm yy) | /20 | ||
| AVS Code (3 digit security code) |
|
If you wish to enter multiple lots please indicate additional lot numbers and descriptions in the special instructions below
| eBay Item Number | |
| Lot Title | |
| Lot Price without Shipping ($US) | |
| Shipping
|
Billing Address
Name Title Organization Street address Address (cont.) City/Town State Zip Work Phone Home Phone
Shipping Address Check here if shipping address is the same as billing address
Name Title Organization Street address Address (cont.) City/Town State Zip Work Phone Home Phone
Please include any special instructions in the space provided below.
* Attention Non-US Customers: Complete the comment box below to include foreign (non-US) addresses:
Please when finished or to start over.