Billing Address:

 SHIPPING ADDRESS MUST BE THE SAME UNLESS APPROVED BY THE PWR
First name:
Last name:
Street:
City:
State/Province:
Zip/Mail code:
Country:
Phone (day):
Phone (evening):
Fax:
E-mail address:

Method of payment:

VISA MasterCard American Express Discover Card
COD Co. Check COD Cash Money order or certified check
Personal Check, allow 10 days to clear
Account Number
Expiration Date /
Cardholder Name
3-Digit Security Code (located on the back of the card)

Shipping Method:

Federal Express
Priority Overnight- morning delivery
Standard Overnight- afternoon delivery
UPS
UPS Red- Overnight guaranteed
UPS Blue- 2 day guaranteed
UPS Orange - 3 day select
UPS Ground 1-5 days
UPS International
Express
Expedited
Standard

Items ordered:

Description Qty Price

PWR  accepts VISA, Mastercard, American Express AMEX, Discover, and Banking Wire Transfers.
THANK YOU FOR YOUR ORDER!

Other Comments: