Page 482 - Merrick Tackle Catalog

482 MERRICK TACKLE Order Toll Free: 800-628-8904 / 24/7 Toll Free Fax 800-686-7763
POLICY PAGES
MERRICK TACKLE CENTER, INC.
7349 ROUTE 28 * SHANDAKEN, NY 12480-9521 U.S.A.
1-845-688-2216 Fax 1-845-688-2329
INTERNATIONAL ACCOUNT INFORMATION SHEET
Please see our Policy Pages for overseas ordering.
PLEASE BILL JUST MY FREIGHT COSTS TO THE FOLLOWING:
VISA MASTERCARD DISCOVER AMERICAN EXPRESS
CARD NUMBER: _______________________________EXP. DATE:_____________ CID #______________
PRINT NAME ON CARD: ____________________________________________________
SIGNATURE OF CARDHOLDER: ______________________________________________
BILLING ADDRESS: _____________________________________________________________________
METHOD OF PREFERRED PAYMENT: please check one.
BANK TRANSFER.
MONEY ORDER OR BANK CHECK WILL BE MAILED DIRECT.
CHARGE CARD (orders under 500 and/or freight)
DATE: _______________________ NAME:_______________________________________________________________
BUSINESS NAME: __________________________________________________________________________________
STREET ADDRESS: ________________________________________________________________________________
CITY: _______________________________________________STATE/PROVINCE: _____________________________
COUNTRY/TERRITORY: ________________________________POSTAL CODE:
PHONE COUNTRY CODE: ______________________________PHONE NUMBER:
FAX #:______________________________________E-MAIL:_____________________________________________ __
The best way to place an order is via fax.
PLEASE INCLUDE ANY SPECIAL SHIPPING & DELIVERY INSTRUCTIONS:
_____________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________
IF YOUR BUSINESS IS LOCATED WITHIN THE 50 STATES of the U.S.A. , DO NOT FILL OUT THIS FORM.
PLEASE PRINT CLEARLY