Electric Poison E-mail Order Form
(to email order please follow email order instructions below)

Name: _________________________________

Shipping
Address: ________________________________

City: ___________________________________

State: __________________________________

Phone: (_____)________-__________________

List items below in this order.
(Quantity              Description          Amount            Total)
_________________________________________________________
_________________________________________________________add lines if needed.

Form of payment;  (check one)
(__) E-mail    (__) Fax    (__) Regular mail

Type of payment;  (check one)
(__) personal check     (__) cashiers check    (__) money order
(cashiers checks and money orders must be sent by regular mail)

Total Amount:     _______
Applicable Tax:    _______
Shipping:
Amount                _______
sending:                _______

USA Currency only.
(Florida  residents add 6.75%)
 

(Start by Printing this page, unless e-mailing back with payment info)

For fastest shipping,
You may make payment by E-mail. Please copy this
page by going to the edit menu, click select all then click
copy in the same in the same menu. Then compose an e-mail
and click paste (again in the edit menu). Then just fill in and send.
Please include a scanned copy of your check filled out and signed,
by attaching it to this message before sending it.
Please Also Include your Name, Number & Shipping Address.
(products will only be shipped to address on check)
You may simply "send" at this point.

Or,

You may Fax your order to (813) 620-0018.
By printing this page and adding your Name, Number and Shipping Address.
Also include a copy of your Check (filled out and signed) with fax.
(products will only be shipped to address on check)
Please also add your  Name & Phone Number to fax page or cover sheet.
To prevent order mistakes, in the event of unreadable text on fax.

Or,

You may send payment by Regular Mail.
By printing this page and adding your Name, Number and Shipping Address.
Please include Check, Cashiers Check or Money Order,
If sending by regular mail Cashier Checks and Money Orders will be processed right away,
(personal checks must clear before shipping)
 

Please send to;

Tvs-services
5515 Baptist Church Rd. Suite A
Tampa, FL. 33610
 

For Questions; please email Sales@tradecenter2000.com
Print a copy of this page for your records.