Kidco HearthGate G70d Manual De Usuario página 15

Method of Payment
METHOD OF PAYMENT
Check/Money Order enclosed (Payable to: KidCo, Inc.)
VISA (13 or 16 digits)
Credit card account number
Signature of cardholder
Please print name of cardholder
Name
Street address
City
1013 Technology Way
Libertyville, IL 60048-5349
Please do not send cash.
Mastercard (16 Digits)
Mo.
Expiration date (required)
State
SHIPPING AND HANDLING CHARGES
If order includes wall covers, lock fittings,
wall plates or vertical bars, add $8.00.
All others add $5.00.
Order amount
Shipping & handling
Total
Yr.
Date
Day time phone no.
Unit
Zip
$
$
$
15