Quick Order Form
NAME:          
AMATEUR CALL:  
E-MAIL ADDRESS:
DAYTIME PHONE: 
ADDRESS:       
               
CITY:          
STATE:         
ZIP CODE:      
COUNTRY:       

Item Information:

MANUFACTURER:
ITEM:        
ITEM:        
ITEM:               
DESCRIPTION: 
QUANTITY:    
NEW or USED: 
PRICE:       
COMMENTS:    

Additional items may be added either by submitting another order or by calling  1-800-729-4373  

UNITED STATES SHIPMENTS:
IN THE U.S. WE PREFER TO SHIP VIA UPS HOWEVER IF YOU PREFER A DIFFERENT CARRIER THAT IS OK. BE SURE TO SPECIFY WHICH CARRIER YOU WOULD LIKE US TO USE IF OTHER THAN UPS.


 

Visa: MasterCard: Discover:  Amex
Card Number: Exp Date(MM/YY): CVV Number
 To aid in the prevention of fraudulent credit card use, we now require the 3 or 4 digit code on the back of your credit card. The back panel of most Visa/MasterCard cards contain the full 16-digit account number, followed by the CVV/CVC code. Some banks, though, only show the last four digits of the account number followed by the code.

  If you do not wish to place your credit card number on line, call us at
1-800-729-4373 (1-800-PAY-HERE) or fax your order to 1-812-422-4253


Note: on Credit card orders we must ship to the billing address of the credit card account. If you wish to ship to a different address, you must make a temporary address change through your issuing bank. You must call the issuing bank of your credit card (the phone number is on the back of your credit card) and authorize an alternate shipping address. This can be a temporary or permanent addition

Note on
International orders: Please send by fax, post or e-mail attachment a Photostat of your credit card (front and back) along with a Photostat of your credit card billing statement. The billing statement should clearly show your billing address and credit card number. Please hand write or type your credit card number and expiration date, and your signature authorizing this transaction if you are faxing or sending JPG/GIF. Credit card orders will not be shipped until a readable copy of this information is received. Please note that HAM STATION reserves the right not to process orders if the delivery point is not your billing address for your credit card. Orders are processed when you send your information, so your credit card will be charged at that time: however, shipment cannot occur until the verification process is complete and all international paperwork approvals are done.


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