BridgeHands Ordering Details

 

Please provide BridgeHands the following ordering details along with your order.
See BridgeHands Billing instructions for billing options and our Terms & Conditions.

You may wish to print this page directly or print attached Adobe Acrobat PDF file.

We are committed to ensure your information is secure and confidential.
 

1.

Service/Product Name:

2.

Sales Price (if known):

3.

Your Reference Number (if applicable):

4.

Credit Card Information - use exact information found on Credit Card

a.
 

Card Type: MasterCard, Visa, , PayPal,
                    American Express, Discover:

b.

First Name:

c.

Last Name:

d.

Credit Card Number:

e.

Expiration (Month/Year):

f. 

Card Verification Number (on back):

g. 

Street Address:

h. 

City:

i. 

State:

j. 

Zip Code:

5.

Your EMAIL Address:

6.

Your Contact Telephone Number:

7.

Your Comments:

BridgeHands Terms and Conditions