SAVE UP TO 90% ON YOUR TONER EXPENSES

START TO SAVE MONEY NOW!!!

Please fill the form out and fax to us.
We cannot process your order until we receive this form

Type in the proper fields below using your computer, print, sign and fax this form
or
Print this form, fill it out, sign and fax this form Click here to print this page

I give my authorization to charge my credit card # with expiration date of , for the charges incurred by me or my company, in the total amount of $ (US $ dollars).  * Code Credit card cvv2 number: last 3 numbers on the back of the credit card by the signature area. For American express card holders look for the four non-raised number on the front of the card.

I have Enclosed a copy of the front and the back of my Credit Card and of my Identification Card so that my signature can be verified.