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Fax Order Form - Chess Forum Inc.

To use this fax form, simply use the "print" function of your brower (usually located under the "File" menu) to print out this form, then fill out all the appropriate fields in the spaces provided below. Fax the completed print out to 212-475-3905 to complete your order. We accept:Visa, MasterCard, Discover or American Express.
We will gladly honor your Checks, Money Orders, Travellers or Cashier's checks.
Thank your for shopping Chess Forum.

Date:______________

Shipping Address:                                  Billing Address: As it appears on the Credit Card or Check

Name:____________________________________     Name:_________________________________

Address:_________________________________     Address:______________________________

Address:_________________________________     Address:______________________________

City:____________________________________     City:_________________________________

State:________________ Zip:______________     State:_________________ Zip:__________

Phone Number:____________________________

Fax Number:______________________________

E-Mail:__________________________________

The item numbers are not yet available. a brief description and a note of where it was found will suffice for now. Thank you

Qty   Item #   Description             Color/Size      Price each      Extended Price

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______ _______ _______________________ _______________ ______________  ______________

                                                      Sub-Total       ______________

                                                      Shipping*       ______________

                                                      Tax (8.375% NY)  ______________

                                                      Total           ______________

Payment (circle one): Visa / MC / Amex / Discover

Card Number:_______________________________

3 Digits Code:_______________________________

Exp Date:__________________________________

Signature:_________________________________

Please Fax this form to 212-475-3905. Thank you for your order.

All orders are shipped by UPS ground service, tracked and insured. UPS will not deliver to PO boxes, special orders are possible to PO box addresses.

*International shipping costs vary depending on weight and destination.