SquashGear.com Fax/Mail Order Form

Just fill out this form and fax it to us @ 1-732-765-8625.
Shipping Address:
Name:
Address:
Address:
City:
State: Zip: Country:
Billing Address: (if different from Shipping Address)
Billing address can be found on your credit card statement.
Name:
Address:
Address:
City:
State: Zip: Country:
Phone number:
Email:
We accept now Visa, MasterCard, AMEX, Optima, Discover, DinersClub, US Money Orders, and Checks.
Credit Card Type: Credit Card Number:
Expiration Date: CVV: Signature:
Items ordering:
Item name Item code # of items Item price Subtotal for item
Goods Total:
Shipping*:

*Shipping options for fax orders:
  • Standard (US addresses only) - FREE for orders over $49.99, $3.95 otherwise
  • Outside the US addresses - contact us for exact quotes, starts from $12.00

    Please note that 6% tax will be added for taxable items if order is shipped to the state of New Jersey.