|Rip n Roll Mail Order Form|
This is where you tell us all about you so
we can send you the stuff you want. Easy enough? Simply fill out the form below.
After you're done, print out the form and mail it to us along with a check or money
order. Checks and Money Orders should be made payable to
Rip n Roll and sent to:
Rip n Roll
P.O. Box 14301
Clearwater, FL 33766
For more info on our shipping methods click here.
To fax your orders, fax to 1-727-712-2346
|Bill To: Name and address as it appears on your credit card statement|
|City, State, Zip||Zip Code|
|phone number required for all credit card orders|
|e-mail address required to send shipment confirmation|
|Ship To:||If different from Above|
|City, State, Zip:||Zip Code|
Method of Payment
Visa Mastercard American Express Check Money Order
|Name on the card:|
|Expiration Date (MM/YY):|
Billing on your credit card statement will be from Rip n Roll Inc.
Stuff you're buying Today
First Class Mail
**If paying by check or money order: ALL CHECKS MUST BE IN U.S. DOLLARS. International customers must send International Money Orders only! Be aware that your order will be shipped as soon as the check has cleared. Credit card orders will be shipped the next business day.
Thank you for your Order
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