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
"
!!!
Full Encryption. All prices are Plus Shipping
This is a Secure Section
...
ALL PRICES ARE BASED ON AMERICAN DOLLARS.
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.
Miss
Ms
Sir
Last
Shipping Address
City
State Region
Zip
Country
Home Phone
Resale Number
Work Phone
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.
E-mail
This Order Is Being Shipped To
Where
Home Address
Business Address
Company Name If Applicable
Your URL If You Would like To Share
Credit Card
Credit Card
Visa
Master Card
Discover
Sending Money Order
Sending Check
Expiration Date
Month
01
02
03
04
05
06
07
08
09
10
11
12
>Year<
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
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 Us
Business Card On Bike "Rare"
Friend
A Link To Us
News Group
News Paper
Accufind
Altavista
Ask Jeeves
AOL
Beaucoup
Cnet
Dog Pile
Excite
Google
GoTo
Hotbot
Infoseek
Looksmart
Lycos
Mamma
MetaCrawler
MSN
Netscape
Profusion
WebCrawler
Yahoo
Other
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.
If You Do Not Receive A
>>Got It<<
Email
Within 24 Hours Mon-Fri., Please Let Us Know.
©
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
Top Of Page
Click Here
T
HANK
Y
OU
F
OR
Y
OUR
I
NTEREST
I
N
L
INK
A
MERICA
D
ISTRIBUTORS
P
RODUCT
L
INE
C
ontact Us
E
nter Here Page
H
ow It Works
P
roducts
S
hipping
E
xchange
H
ome
1-800-496-4707
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