Fax order form for ordering goods from SOCCER-SPAIN Shop Please print and fill in this form, and fax it to (0034) 93 4342278
order details
product description size quantity unit price subtotal           Shipping   Total
customer information
name
address
city	state/province
postcode	country
e-mail address	telephone (supplied to UPS)
billing information
credit card number	credit card type: VISA, Mastercard or Amex
credit card issuing bank	expiry month expiry year
name on credit card	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 ______________________