Credit Card Information
(complete only if paying by credit card)
Credit Card Number:
Expiration Date:
Card Type (select one):
VISA / MASTERCARD
AMEX / DISCOVER
Name on Card:
Card Billing Address:
City:
State:
Zip:
Country:
Signature:
Comments
Instructions
Mail completed form with payment to:
Cricket Ventures
528 S. Cherry Rd.
Rock Hill, SC 29732
If paying by credit card, you may fax your order form to 803-985-8775. Please
make checks payable to Cricket Ventures. South Carolina residents please add 6%
sales tax.
Shipping rates listed are for single item purchases. If ordering multiple items
please contact us for rates, or get them from our shopping cart.
