WePlay Sports Express Fax Order Form
Print This Form. Then fax your order to us at: 440-357-8085

Ship To:
Name: E-Mail:
Address: Phone:
Address: Fax #:
Address: Country:
Address: Note:

Billing Address of credit card (if different than ship address)
Name: E-Mail:
Address: Phone:
Address: Fax #:
Address: Country:
Address: Note:

Item / Model Description Size Qty Web Price Total
      $ $
      $ $
      $ $
      $ $
      $ $
Sub Total $
Tax (Ohio Residents Only @ 6.25 %) $
Shipping $
Net Total $

Credit Card (Circle One): VISA * MASTERCARD * DISCOVER * JCB * AMEX
Credit Card #: Full Name:
Expiration Date on card: 3 or 4 Digit Security Code:
Signature: Indicate Credit or Debit: