WePlay Sports Express Fax Order Form

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: