FAX ORDER FORM

USLF allows secure ordering and downloading on-line.
However, if you would like to order by fax, you have two options.
When you select the Order icon your items are added to your shopping basket and listed on the order form 
to be sent by secure server.  You may simply print the order form and send it by fax. 
If you do not want to use the shopping cart, this fax only form is provided below.
Form # Short Title Price
Total

Customer Information
 
Name: 
Street Address: 
City: 
St:    zip: 
Phone:             FAX: 
Email address: 
Word Processor Used:
Enter Credit Card Information
Credit Card Name: 
Credit Card Number: 
Expiration: 

To order forms by Fax, complete and fax this form to
(601) 896-0199


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