Non-Secure Order Form

We believe that privacy is an inherent American personal right. We have no right nor will we sell personal information to absolutely "NO ONE"!!!

All prices are Plus Shipping. Sales Tax will be added if shipping in the state of Texas unless a Resale number or Tax Exempt number is included in the order.  A Resale Number is not required to place an Order. ALL PRICES ARE BASED ON AMERICAN DOLLARS. Note: There is a $5.00, per box, customs paperwork processing charge on all INTERNATIONAL Orders.

To Order by check,  money order, phone  Click Here

Mr.Mrs.MissMsSir		Last
Shipping Address		City
State Region		Zip
Country		Home Phone
Resale Number		Work Phone

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Note: If your Shipping  Address is different then the Billing Address for your credit card, you must type
your Billing Address below along with any special instructions in order to avoid any delays in your order.

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E-mail

This Order Is Being Shipped To	WhereHome AddressBusiness Address
Company Name If Applicable
Your URL If You Would like To Share

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Credit Card Credit CardVisaMaster CardDiscoverSending Money OrderSending Check

Expiration Date Month010203040506070809101112 >Year<1998199920002001200220032004200520062007200820092010

Card Number

The Account Number You Pick Must Be At Least Six Digits Or Greater.

	Pick An Account # and enter it below		Pick A Secret Word and enter it below
Account #		Secret Word

Please record your account number and secret word for future use.

Product Id	Quantity	$	Unit Price	Totals	Weight
		$
		$
		$
		$
		$
		$
		$
		$
		$
		$
		$
Your	Order	.	TOTAL		Weight
Texas	Add Tax	.	.0825% )-:		Is Not
Texas	Grand	.	Total		Required

NOTE:  If You Are Not A Texas Resident You Will Not Charged Texas Sales Tax.

We would be grateful if you would let us know how you found us. How Did You Find UsBusiness Card On Bike "Rare"FriendA Link To UsNews GroupNews PaperAccufindAltavistaAsk JeevesAOLBeaucoupCnetDog PileExciteGoogleGoToHotbotInfoseekLooksmartLycosMammaMetaCrawlerMSNNetscapeProfusionWebCrawlerYahooOther

To Continue Or Submit Order Click Below

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Once you press submit, if you wish to continue your order just press the back Icon/Button (Top Left On Your Screen)
until you see the order form selections. Click previous customer secure order form. Thank You
If You Do Not Receive A  >>Got It<<  Email Within 24 Hours, Mon-Fri., Please Let Us Know.

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If YouWish To Pay By Check or Money Order
Print Two Copies of this Form and Send a copy with a Check or Money Order.
Make all checks or money orders payable to our Parent: LinkAmerica Distributors
224 E. Main St. Port Lavaca Tx. 77979 Phone: 1-800-496-4707 Central Time
PLEASE KEEP A COPY OF THIS FORM FOR YOUR RECORDS, Thank you
Top Of Page Click Here

THANK YOU FOR YOUR INTEREST IN LINKAMERICA DISTRIBUTORS PRODUCT LINE If we can be of any assistance or answer any questions, please feel free to let us know © Copyright 1998, 1999, 2000, 2001, 2002, 2003, 2004, 2005, 2006, 2007 God Bless the USA All Rights Reserved 224 E. Main St. Port Lavaca Tx. 77979 Phone: 1-800-496-4707 Central Time