Fax order form for ordering goods from The Liga Shop Please print and fill in this form, and fax it to +00 934 342 278
Order details
Product description Size Quantity Price Subtotal           Goods Total
Delivery details
Name
Address
City	State/province
Postcode	Country
E-mail	Telephone
Billing information
Credit card number	Credit card type
Credit card issuing bank	Expiry month   Expiry year
Credit card holder's name	Security code
I accept delivery charge by UPS Express to be added to the Goods Total. Please confirm the delivery charge before processing this order.
Cutomer's signature _______________ Date _______________