Now, for your convenience, there are four ways to place your order:
1) Print this form and fax it to:
(703)778-2585
2) You can mail it to:
POOLCENTER.com
Order Processing
5185 MacArthur Blvd.
Washington, DC 20016
3) You can call us at
877-POOLCTR(877-766-5287)
4) You can place your order online with our super secure sub-domain store.POOLCENTER.com
BILLING INFORMATION: |
Name: ________________________________________________________ Company: _______________________________________________ |
Address: _______________________________________________________________________________________________________________ |
City: _________________________________________________________________________ State: ________________ Zip: _______________ |
Phone (H): __________________________________________________ Phone (C): _________________________________________________ |
E-Mail Address*: ____________________________________________________________ Fax: _______________________________________ |
* Note: email address needed to send order confirmation, receipt, and tracking information. |
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CREDIT CARD INFORMATION: |
Method of Payment: ___MasterCard ___VISA ___DISCOVER ___AMEX |
16 digits 16 digits 16 digits 15 digits |
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Expiration Date: __________ CVV Code?: _________ |
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Name As It Appears On The Card: ________________________________________________________________________________________ |
Signature: _____________________________________________________________________________________________________________ |
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CHECK INFORMATION: |
Bank Name: _______________________________________________________________ Type of Account: [ ] Checking [ ] Savings |
Routing Number?: _______________________________________________________________________________________________________ |
Account Number?: _______________________________________ Please Re-Enter Account Number: ________________________________ |
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SHIPPING INFORMATION: |
[ ] Same as Billing Information |
Recipient Name: ________________________________________________________________ Phone: ________________________________ |
Street Address*: ________________________________________________________________________________________________________ |
City: _________________________________________________________________________ State: ________________ Zip: _______________ |
* Note: We cannot ship to a P.O. Box, we must receive a physical address to be able to ship an order. |
