Eyespyvideo.com Fax Order Form


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Please fill out this form, then print, sign, and transmit by fax to the facsimile number listed below.

Last Name / Company Name:

First Name / Contact Name:

Telephone Number (confidential, for notification only):

E-Mail Address (for notification / confirmation):

Billing Address:

Street Address or P.O. Box:

Apt. / Suite No.:

City:

State:

Zip Code:

Shipping Address (if different from above):

Street Address or P.O. Box:

Apt. / Suite No.:

City:

State:

Zip Code:

ITEMS REQUESTED:

Item Number	Quantity	Price / Each	Extended Item Total
		$	$
		$	$
		$	$
		$	$
		$	$
		$	$
		$	$
		$	$
		$	$
		$	$
Order Subtotal:			$
Flat Rate Shipping Amount (see table below):			$ OR:
Check FedEx Rush Service:			Priority AM Overnight Standard PM Overnight FedEx 2-Day Service
Missouri (MO) residents only, please add 6.075% state sales tax (multiply subtotal by 0.0675)			$
Total Amount of Requested Order:			$

Credit Card Type: Visa MasterCard Discover American Express

Credit Card Account Number:

Expiration Date:

Security / CVL Code:

*Note: For Visa, MasterCard, and Discover cards, this code is the last three digits printed on the card's signature strip (back of card). ***For American Express (AMEX) accounts, this is a four-digit code found on the front of the card following the card number.

I, as purchaser, hereby agree to the terms and conditions provided herein regarding the use of this web site and all products / equipment contained or listed on this site. I certify that I am 18 years of age or older and am capable of receiving item(s) ordered. I further understand that it is my responsibility to ascertain and obey any and all local, state, and federal laws regarding the use of these products in my own state, province, or country. Furthermore, I will not hold Eyespyvideo.com responsible or liable for any use or misuse of its products. I grant permission for the credit card account above to be charged for the full amount of products plus applicable shipping costs and taxes (MO residents only).

X____________________________________________________

Signature REQUIRED for all orders by fax

Send order form, with all credit card infomation, to:

Eyespyvideo.com LLC

1-800-568-6356

*Most items are kept in stock and ship the same day order is received!

Flat Rate Shipping Fees (Insured FedEx Ground / Home Delivery) for Domestic U.S. Customers, regardless of size or weight of order:

$0.01 - $50.00..................................$6.00
$50.01 - $100.00.............................$7.00
$100.01 - $300.00...........................$8.00
$300.01 - $500.00...........................$10.00
$500.01 - $999.99...........................$15.00
$1,000.00+.......................................$20.00
*Note: Orders to P.O. boxes will be shipped via USPS Insured Priority Mail service at no additional charge.

*Rush shipping (including overnight service) is available for in-stock items with FedEx. We charge only actual shipping rates, never any handling charges. Please feel free to email us with any questions regarding the availability or cost for expedited shipping.

Our simple customer privacy policy:
All customer information is confidential & will not be shared or sold!

WARNING: The use of covert video and / or audio surveillance may be unlawful in your state, province, or country. It is the responsibility of the purchaser to ascertain and obey all applicable local, state, and federal laws in regards to the possession and use of any or all items available through Eyespyvideo.com LLC.

Use of this site and the products contained herein are subject to our terms and conditions.

Please click to read our privacy policy.

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St. Louis, MO USA