Fax order form

Print out this form, fill in the credit card and the order sections.

When completed then fax it to 718-447-1010

Name: ___________________________

Visa: Mastercard:

City:__________________________	Card No. ________________________
State:_________________________	Exp. Date:__ __
Zip:__________________________	Signature:_______________________
Phone: _______________________	Name on Card:___________________
Fax: _________________________
Email: ________________________

Purchase	Order Form
Fighting Forces Key Designs	KW-1/10 qty.	SC-1 qty.
100 - American Eagle
101 - U.S. Army
102 - U.S. Navy
103 - U.S. Air Force
104 - U.S. Marine
*105 - POW MIA**

@ $ 5.50 each key shipping included