| Shipping Information Contact:
_________________________________ Company:
_________________________________ Address (no PO Boxes):
_________________________________ City, State, Zip:
_________________________________ Phone:
( )___________________________ Fax:
( )___________________________ eMail Address:
_________________________________
Payment Options Credit Card:
   
_____________ (3 or 4 digit code on BACK of card )
Check (Make checks payable to Tunza Inc. , allow 10-12 days for check to clear prior to shipping )
Money Order (Shipped on Receipt )
Credit Card No.: ________________________________ Expiration Date: __________/___________/__________ Name on Card: _________________________________ Signature: _____________________________________ | 
