INTERNATIONAL ORDER

Please follow the instructions on this page for transmitting International orders.

PokerBargains.com accepts the following forms of payment for International orders:

Visa
MasterCard
Discover
American Express

Please read the following carefully before continuing:

1. International orders are entered into our computer system by hand; this may delay your order by 1 one business day.
2. You will be contacted via email or fax regarding the final total charge (including shipping)

These are the steps in placing an International Order:
  1. Print out this form.
  2. Fill out the order request form below. (To help us fulfill your order as soon as possible, please fill out the form completely. Missing information may cause delays in processing.)
  3. Fax to (626)355-0237
  4. A detailed invoice with the total amount that will be charged to your credit card will be e-mailed to you confirming your order. A second e-mail will be sent when we have shipped your order.
SHIPPING INFORMATION:

First Name: ________________________________________

Last Name: _________________________________________

Email Address:______________________________________

Telephone:__________________________________________

Address:____________________________________________

City:_______________________________________________

State:______________________________________________

Zip Code:___________________________________________

Country:____________________________________________



BILLING INFORMATION: (leave blank if same as shipping information)

First Name: ________________________________________

Last Name: _________________________________________

Email Address: _____________________________________

Telephone:__________________________________________

Address: ___________________________________________

City: ______________________________________________

State: _____________________________________________

Zip Code: __________________________________________

Country:____________________________________________



PRODUCT INFORMATION:

PRODUCT NAME: _______________________________________

PRODUCT OPTIONS:: ___________________________________


PRODUCT QUANTITY: ___________________________________

PRODUCT PRICE: ______________________________________

TOTAL: ______________________________________________


PAYMENT INFORMATION:

CREDIT CARD TYPE: ___________________________________
(Visa, Mastercard, Discover, American Express)

Credit Card Number:: ________________________________

Credit Card Expiration: _____________________________

Name on Credit Card: ________________________________

Card Verification Number:____________________________
The "Card Verification Value" is a 3-4 digit number, which we need for security purposes. For MasterCard and Visa credit cards, this is a 3 digit value located on the signature strip on the back of the credit card. For American Express cards, this is a 4 digit value located on the front of the card. If your credit card is old, this value may be absent. In this case, just write "value not present".



I hereby authorize the merchant (PokerBargains.com) to charge my credit card for cost of the items and any applicable sales tax*.

Signature: ______________________________ Date: __________