Payment    Information   Form
Item Number :            Item Name :
Winner ID :     Winner E-mail :
Final Price : $

Payment Selection

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 77058

If you do not have fax machine , please feel comfortable to call us at:                                         281-486-2667  or 1-800-816-2835