Ron Wade Memorabilia Online Order Form

How would you like to pay?

Mastercard Visa Discover Card American Express Paypal check money order/cashier's check
 
Print out this form and mail to address at bottom of the page or fax form to 903--236-9499.
Or call me at 903--236-9615 evenings & weekends to give your credit card number by phone.
Make check or money order payable to:  Ron Wade

If paying with credit card fill out information below.

Credit card # exp. date
 
Use This Section if You Want to Print Out & Fill in by Hand:

Quantity

Item #

Product Description

Item Price

Total
         
         
         
         
         
         
         
         
         
         

Subtotal

  

Shipping Charge ($4.65 Per Order)

  

Order Total

  

You may directly input order here but this will print only about 12 lines if printing out to fax or mail.

                    Item #                 Quantity                      Price                    Total

                               U.S. Mail shipping and handling costs: $4.65 per order
Insurance or overnight shipping additional if desired.

Total amount charging/enclosed:

Tell us how to get in touch with you:

Name
Address
Credit Card Billing Address
City/State
Zip
E-mail
Tel
FAX
Please contact me regarding possible phone contact for credit card information.

  Mailing Address   

Ron Wade

Ron Wade Political & Historical Memorabilia

2100 Lafayette Drive

Longview, Texas 75601-3437

Thank you for your purchase! If you would like to pay by credit card send your credit card information by email, by telephone, fax or mail.