Acclaim Miniatures Order form

Please Print

Item #                  Description                            Scale           Metal        Quan.   Price Each         Total

*For more items use separate paper and sub-total here-----

Sub-Total

CA. residents add 7.75% tax--

Name

U.S. shipping add:

$5.00

Address

Grand Total

City

State

Zip

Phone

E-Mail

Method of Payment

Discover

Check

Master Card

American Express

Visa

Please Note if using credit card- You must provide billing address for the card and the numbers in the signature box located on the back of the card. Please fill out the following:

Billing Address

State

City

Zip

Credit Card Number

Last 3 Numbers on signature stripe:(back of card)

Signature

Please print this form and mail to the address below- This is not a secure site

All Orders will be shipped in appox. 7- 14 days(may vary due to show schedule).You will be notified by phone or e-mail if there is a delay.Most orders will be shipped via United Parcel Service.

Acclaim Miniatures P.O. Box 339 Murrieta, Calif.      92564-0339

Questions? (951)676-0770 mail@acclaimminiatures.com

Mail To:

Thank You for your order!!!

Exp. Date