Billing Address:
Name
Address
City
State
Country
Zip
Contact Information:
Email
Day Phone
Evening Phone
Shipping Address:
Same as above.
Name
Address
City
State
Country
Zip
Payment Online :
Following are the payment methods we accept online.
Please choose the one that you will be using:
Visa
Master Card
Card Number
Card Exp (MM/YYYY)
If you have any questions, comments, or
special orders, please email us.
Payment Offline :
If you prefer to pay offline, please send a copy
of this page along with your payment to:
The Jerry Rice Virtual Card Shop
P.O. Box 123456
Tallahassee FL, 12345, USA
Shipping:
We ship via UPS. Please allow 3-6 weeks delivery time.
Return Policy:
If you are dissatisfied with any item you ordered, you can
return it within 30 days for a full refund minus shipping.
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