Ship to: (Print clearly and legible)
- Name:________________________________________Phone Number:____________________
Address:______________________________________________________________________
City:________________________________________State:________Zip Code:_____________
Email:________________________________________________________________________
[ ] Money Order #:_____________________________________
[ ] Cashiers Check #: __________________________________
- X___________________________________________________
Customer Signature
| Print this form, complete, and mail along with money order or cashiers check |
| Money Order or Cashiers Check must be payable to: JBV International - GSS Mail to: P.O. Box 826062, Pembroke Pines, FL 33082-6062 USA Send payment along with order form via traceable means. Email our office to confirm inventory availability before sending payment, if item in sold out or discontinued payment will be returned to sender. |
| Order Form for Money Order and Cashiers Checks |
| Please note we do not ship to P.O. Boxes, APO/FPO or outside of the Continental United States ~~~~~~~~~~ Do not send cash with this form ~~~~~~~~~~ Do not use this form to place a credit card order - all credit card orders must be placed on our website ~~~~~~~~~~ Retain a copy of the completed form and payment for your record |
Color (if applicable):________________________________
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