"leather biker jackets, leather vests, leather chaps,
leather pants, leather shirts, brown leather, dusters, leather gloves ”
Lower 48 States only
Orders over $149.00
for all orders - be sure to type correctly):
NAME * (Your full name - as it appears
on your credit card):
(billing address of your credit card):
CITY, STATE and ZIP *
Day/Eve/Fax PHONES *(Please
Ship to if different: (Not for credit card orders! Include C/O
PLEASE SEND ME THE FOLLOWING ITEMS:
Write over any defaults as desired.
Please include [QUANTITY (otherwise 1 is assumed), SIZE, ITEM #, DESCRIPTION,
COLOR and PRICE].
Orders less than $150.00
8% SALES TAX for:
Credit Card Number: *
Exp. Date: *
(REQUIRED - VISA, MC, DISCOVER: 3
digits located on back of card, AMEX: 4 digits on front above card
PAYPAL (To send money through PayPal click on Paypal logo. Our
Paypal e-mail address is : firstname.lastname@example.org
__ PERSONAL CHECK (Print this form and mail to the address
below - We must hold order for 20 days)
__ MONEY ORDER (Print this form and mail to the address below
- with no delay)
__ WESTERN UNION
UNION website and locate your closest agent. Complete the "To
Send Money" form. Give the agent the amount you require plus
the transaction fee (estimated $15 to $50 depending on country and
amount). Save your receipt with your Money Transfer Control Number
(MTCN) and enter to form below and any password required for pickup.
Messages or Special Instructions: Western
Union Control number, comments, messages and/or measurements as needed:
(measurements will not guarantee perfect fit but may help our expert
IMPORTANT: Credit card orders can only be shipped to credit card billing
address noted above.
You may also send this form to:
6391 Avery Street SW Covington, GA 30014
404 729 3965
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Leather will not be held responsible for any electronic data
errors and reserves the right to correct any errors.
Copyright © 2007 Dynamic Leather , All Rights Reserved.