Secure Order Form

Welcome to Magsupply's secure order page. To place your order please complete the form below. We accept the following Credit Cards: MasterCard, Visa and Discover Card. See our online terms for complete detail for payment type and other important info. You are agreeing to the terms when you place the order!

When you receive your email reciept, please forward a copy to magsupply@aol.com. Thank You!

Directions to fill in Order Form:

1) Click on catalog of choice, click on secure order page, then minimize the order form into a small window, cut, copy and paste or type into the form. you can use alt tab to move back and forth or click on window you want to be in.

2) Minimize the order form when you go from catalog to order form with the back and forward button on your Internet browser to fill in the information from the web catalog you are shopping from.

3) Once form is complete to bottom, choose the "PRINT" button at the bottom for your records.

4) Then click the "SUBMIT FORM" button. This is REQUIRED! You will get an acknowledgement for every page submitted properly.

5) You can submit as many forms as you need and they will be complied into one order if sent in same two hour span.

Please provide your order information: Account Information (This is a securedpage)

QTY Item # DESCRIPTION Price each Line Total
PLEASE TAB BETWEEN FIELDS - DO NOT HIT THE ENTER KEY
A PRICE FOR EACH ITEM IS REQUIRED OR THE ITEM WILL NOT BE ADDED TO YOUR ORDER
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
Order Grand Total: $ (plus shipping)

Please provide the following contact/shipping information. Complete this entire section:

First Name

Last Name

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Telephone Home
Cell

E-mail (A valid email account is required for Order Submission)
This is where you will be notified of your shipping info please check the spelling

If choosing to pay by credit card, please provide your credit card billing information if different from above: Must be a current customer or have talked with Diana Black or Paula Powers @ magsupply@aol.com for prior approval to ship to other than confirmed credit card billing address.

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Choose one of the following payment options:

Visa, Master Card, Discover (we will send you a total and instructions)

Enter your credit card number below:

---

Enter your credit card expiration date:

Month Day Year

Choose one of the following shipping options (required):

Enter any comment or special instructions:

To help us serve you and our future customers better, please tell us how you found our website:

Use the print button below to print this order for your records.
Note: You must print prior to submitting your order if you need a copy otherwise copy will come with your order :)

Then to complete order

** Be sure to check your email in case we have any questions once you place the order. We only reply via email. Thank YOU!

QTY	Item #	DESCRIPTION	Price each	Line Total
PLEASE TAB BETWEEN FIELDS - DO NOT HIT THE ENTER KEY A PRICE FOR EACH ITEM IS REQUIRED OR THE ITEM WILL NOT BE ADDED TO YOUR ORDER
			$	$
			$	$
			$	$
			$	$
			$	$
			$	$
			$	$
			$	$
			$	$
			$	$
			$	$
			$	$
			$	$
			$	$
			$	$
			$	$
			$	$
			$	$
			$	$
			$	$
			$	$

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Telephone	Home Cell
E-mail	(A valid email account is required for Order Submission) This is where you will be notified of your shipping info please check the spelling

*Street Address*
*Address (cont.)*
*City*
*State/Province*
*Zip/Postal Code*
*Country*