Internet Order Form

Magac Products Inc. Logo Internet Order Form Date:__________
Print order form, fill-in order information. Credit card orders may be Fax'd to 619-441-4976. Mail check or money orders to Magac Bingo Products, Inc., 1044 Pioneer Way, Ste G, El Cajon, CA 92020 (Use the browser's back button to return to your previous location after printing the order form.)

Name:_________________________

Address:_______________________

______________________________

Daytime Phone# ________________

Ship To:(No PO Boxes)

_______________________________

Quantity	Description of Item	Price (Each)	Amount









(do not write in this space)		Sub Total
		Shipping (see chart)
		*CA Sales tax
		Total

Ship Via (circle one)	Terms (circle one)	Credit Card Information
UPS	MasterCard Visa	Card #	Expiration date: (Month/Year)
	Check	Name as it appears on card:
U.S. Postal Service	Money Order	Signature:
	Do not send cash!	Authorization# (for Magac use)
		There is a $25 service charge for returned Checks
		*California residence add 8.25 % sales tax