ACME ORDER FORM
Please print this order form and mail or fax it to:       ACME Trading Co.     PO Box 1783     Winder, GA 30680     Phone: 888.209.ACME     Fax: 678.281.0459
Product Description Price Qty. Subtotal *Subtotal 0   *Shipping charges and tax (if applicable) will be added when Credit Card is charged.
Personal Information This is the address to which your receipt will be sent, and also the address to which products will be shipped unless otherwise specified below.
Name:
Address:
City:
State/Zip:
Email Address:
Telephone #:
Shipping Information Only complete this area if you would like the products to be shipped to an address other than the one listed above (i.e. a gift).
Name:
Address:
City:
State/Zip:
Credit Information Please select your payment type from the list below.
	Visa
	Master Card
	Check/Money Order
Name on Card:
Credit Card #:
Expiration Date: