|
To order your CheckMate infidelity kit,
print, complete, and fax this form to
818-772-8688. You will received
confirmation of your order via email.
Email
(required):
___________________________________________________________________
Email
addresses are used to confirm the order and are not
shared with any third party.
Order Information
Number of CheckMate
infidelity kits
ordered: __________
Shipping Options (check
one):
Standard -
$7.95 per kit (2 day USPS Priority) US ONLY
Overnight -
$17.95 per kit (USPS Express Mail) US ONLY
International
- $11.95 per kit (USPS Global Priority)
International
- $49.95 per kit (FedEx, DHL, UPS Overnight)
Bill to My
FedEX Account:______________________________ ($4
handling fee will apply)
Shipping Address
Name:
___________________________________________________________________________
Address 1 (required):
_______________________________________________________________
Address 2:
_______________________________________________________________________
City (required):
____________________________________________________________________
State/Providence
(required):
__________________________________________________________
Zip/Postal Code
(required):
__________________________________________________________
Country (required):
_________________________________________________________________
Billing
Information
Payment Method (check
one):
Money Order (Please retain
a copy for your records)
Personal Check (Please
allow 10 business days to process check)
Approximate date you will
mail your money order or personal check: ___________
This helps us process your order.
Please make money order or personal checks payable to
DTT CO and mail to:
DTT CO
21704 Devonshire Street, Suite 303
Chatsworth, CA 91311
IMPORTANT - Please write
your email address on your money order or personal
check.
Credit Card (Visa or MasterCard billed discretely as DTT
CO)
EXACT Name on Credit
Card:_________________________________________________________
Credit Card
Number:_______________________________________
Expiration date: ___________
EXACT Address on Credit
Card Statement:
Check here is same as shipping address
Address 1 (required):
_______________________________________________________________
Address 2:
_______________________________________________________________________
City (required):
____________________________________________________________________
State/Providence
(required):
__________________________________________________________
Zip/Postal Code
(required):
__________________________________________________________
Country (required):
_________________________________________________________________
All
correspondence is strictly confidential and is protected
under our privacy policy.
Copyright ©
1996-2005 DNA PLUS. All Rights Reserved.
|