Fax
Order Form
Please fax or send your payment
to:
Online Traffic Builders, Inc.
466 14th Street, Suite #10
San Francisco, CA 94103
(530) 618-6398 fax
(Print this form when ordering by mail or fax.) Ship to Name: ___________________________________________ Address: _______________________________________________ City: _____________________ State: _________
Zip: _________ Telephone: _________________Fax: _______________ E-mail
Address:__________________________________________ Form of
Payment: (Please circle one)
Money Order,
Check, VISA, Master Card, AMEX
Credit Card Number: ______________________________________
Expiration Date:__________ V-Code________ Name on Card: __________________________________________ Billing Address: __________________________________________
City: ______________________ State: ________ Zip: _________ Telephone: ____________________ Fax: ____________________ Authorized Signature: ________________________ Date _______
(Please Select a Quantity)
Sorry, no COD's.
* Please Note: Customer credit cards will be billed as
Special Web Deals Inc.
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