RV Stuff USA Mail or Fax Order Form

MAIL / FAX
ORDER FORM

RV STUFF USA
P.O. Box 250648
Plano, Texas 75025
(888) 767-0394 Fax
www.rvstuffusa.com

Bill To: Ship To:

Name:	.	Name:	.
Address:	.	Address:	.
	.		.
City, State ZIP:	.	City, State ZIP:	.
e-mail:	.	e-mail:	.
Phone:	( )	Phone:	( )

Order:

Item #	Item Description (include color, options, etc.)	Manufacturer	Qty.	Price	Extended
.	.	.	.	$	$
.	.	.	.	.	.
.	.	.	.	.	.
.	.	.	.	.	.
				Shipping	FREE
				Total	$

Note:
(Note: please indicate any information you would like to include with your order.)

Other:

Payment Info:
WE DO NOT ACCEPT PERSONAL CHECKS OR CASH

----------------------------------------------------- Card Number ---------------------------------------------------

Exp

Credit Card V-Code:

For your security, and for credit card fraud prevention, we require the V-Code on your credit card. This number is separate from your regular card number and only appears on your card. Visa, MasterCard, and Discover card holders should flip your card over. You will see your 16 digit card number followed by another 3 digits. This is your V-Code. American Express card holders will find their V-Code as 4 digits just above the card number.

_______________________________________________
Signature of Cardholder…must match "Bill To" name above.

I authorize RV Stuff USA to charge the credit card number indicated above for the total above. I certify that the credit card number and signature above agree to the "Bill To" name above and that, as such, I am an authorized signer on this card.