The Jerry Rice Virtual Card Shop
Order toll free (in US) 1.888.554.4321 (9 AM - 9 PM PST)
Directions
1. Print this form by selecting "Print Frame" (under the "File" menu).
2. Fill in all ordering information.
4. Be sure include all billing and shipping information
(email address is important!).
5. Fax to 415.487.9702 or mail to
The Jerry Rice Virtual Card Shop
P.O. Box 420794, Tallahassee FL, 32311, USA.
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Qty Description Grading Protector Stand Unit Price Total
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Sub Total for Items Ordered _________
Florida Residents Add 7.0% Sales Tax _________
Shipping and Handling (see below for rates) _________
Grand Total _________
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Shipping Rates: Domestic International
1 Item $5.25 $15.25
2-5 items $8.50 $24.75
>5 items $11.50 $31.50
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Email: _________________________
Day Phone: _________________________
Evening Phone: _________________________
Billing Address:
Please fill in all of the blanks.
Name: __________________________________________
Address: __________________________________________
__________________________________________
City: __________________________________________
State: __________________________________________
Country: _______________________ Zip: _________
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Shipping Address:
_____ Same as above
Name: __________________________________________
Address: __________________________________________
__________________________________________
City: __________________________________________
State: __________________________________________
Country: _______________________ Zip: _________
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Following are the payment methods we accept. Please check the one
that you will be using:
_____ Check (US only)
_____ Money order (in US dollars)
_____ VISA
_____ Mastercard
Credit Card Account #: _____________________ Expires: _______
Cardholder's signature _____________________
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We will respond to your order within 24 hours.
Shipping:
We ship via UPS only. Please allow 3-6 weeks delivery time.
Return Policy:
If you are dissatisfied with any item you order, please send it back
to us. We will credit you towards your next purchase.