Non-Secure Member Order Form
This is a Secure Section
...
Full Encryption. All prices are Plus Shipping. Sales Tax will be added if shipping in the state of California unless a Resale number is included in the order. A
Resale Number
is not required for non merchant
Sample Orders
.
ALL PRICES ARE BASED ON AMERICAN DOLLARS.
To Order by check, money order, phone
Click Here
Account #
Secret Word
E-Mail Address
Phone Number
The Account Number You Pick Must Be At Least Six Digits Or Greater.
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.
To Continue Or Submit Order Click Below
Once you press submit, if you wish to continue your order
just press the continue button on the
Thank You
page.
©
LinkAmerica
224 E. Main St.
Port Lavaca, Tx., 77979
Phone: 1-800-496-4707
Central Time
If You Wish 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:
LinkAmerica
PLEASE KEEP A COPY OF THIS FORM FOR YOUR RECORDS,
Thank you
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T
HANK
Y
OU
F
OR
Y
OUR
I
NTEREST
I
N
L
INK
A
MERICA
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ISTRIBUTORS
P
RODUCT
L
INE
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ontact Us
E
nter Here Page
H
ow It Works
P
roducts
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hipping
E
xchange
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ome
1-800-496-4707
If we can be of any assistance or answer any questions, please feel free to let us know..
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USA
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