Payment Information Form |
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Item Number : Item Name : | |||
Winner ID : Winner E-mail : | |||
Final Price : $ | |||
Payment Selection |
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VISA |
MASTER |
VISA |
Check or Bank Cashier Check |
Card Holder's Name : | |||
Credit Card Number : | |||
Credit Card Expiration Date : / | |||
Credit Card Customer Service Phone Number : 1-800- - | |||
Credit Card Billing Address : | |||
Street : | |||
City : State : Zip Code : | |||
Shipping Address : | |||
Street : | |||
City : State : Zip Code : | |||
*If shipping address is not same as your credit card billing address, please call your credit card customer service first for approvement.* | |||
Please
complete this form, then fax this form to 281-486-2689. [For security reason, please do
not send it by e-mail ] Or send payment to: Multi-Com Computers & Systems , Inc. <===== Make payment payable to: 17000 El Camino Real. Suite # 304 Houston, Texas 77058If you do not have fax machine , please feel comfortable to call us at: 281-486-2667 or 1-800-816-2835 |