Order Form

CREDIT CARD AUTHORIZATION FORM

Fill out our online Credit Card Authorization Form with the product details that you would like to order and submit either online here or print and fax it to fax#781-843-6583. We will call, email or fax it back to you once your credit card has been charged. Please know that this is a secure page viewed over secure HTTPS protocol / encrypted website. We do not share your information and will only use this information for sole purpose of placing your order.

We provide the best deals on all our manufacturers' lines, we sell only 100% brand new, factory sealed products direct from the manufacturer and our low overhead means better prices for you!

Fields with an asterisk (*) are required.

FIRST NAME:

LAST NAME:

NAME ON CREDIT CARD:

BILLING ADDRESS*:

City:

STATE:

COUNTRY:

ZIP CODE:

SHIPPING ADDRESS (if different from billing address for commercial accounts only, with verified phone book listing).

SHIPPING ADDRESS:

CITY:

STATE:

ZIP CODE:

NAME OR COMPANY NAME OF SHIP TO:

EMAIL ADDRESS*:

PHONE #*:

FAX #:

CREDIT CARD TYPE:

CARD NUMBER:

EXPIRATION DATE:

3 DIGIT NUMBER ON SIGNATURE STRIP ON BACK OF CREDIT CARD

CHARGE AMOUNT IN U.S.$ + TAX SHIPPING IF APPLIES

Authorization:

I authorize and agree to pay the above total according to Card Issuer Agreement and authorize Pro Sound Service Inc. to charge my credit card accordingly.

Signature of Cardholder:

Date:

Please note the billing address MUST match the address that your credit card company sends the bill to! If it does not match the computer will not approve the charge. Phone numbers and addresses must be valid and verifiable. No exceptions.

Products:

	Item Number

Description

Quantity

Price Each

Date Needed By:

Click here to Submit Credit Card Authorization:

If you prefer, you can complete this form, print and fax it in confidence to Pro Sound Service Inc. Fax #: 781-843-6584.

Once we receive your submitted form, we will contact you within 24 hours (excluding weekends).

Please feel free to call us with any questions at 877-776-7631 or email info@prosoundservice.com.

Thank you.

You can also contact us or chat with us LIVE...Click the button below to chat live Mon-Fri 10A-6P:

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Pro Sound Service Inc. • 20 Brookside Road • Braintree, MA 02184 • USA • Tel: 781-849-1285 \| Fax: 781-843-6584 • Email: info@prosoundservice.com • © 1990-2007 Pro Sound Service Inc., All Rights Reserved. Powered by www.websiteforge.com