Table Hockey Shop.com - Fax Order Form

Please type your information below, print out and fax to: 215-938-6285

Please do not send this form as an attached file in an email, it leaves us vulnerable to computer viruses

Billing Address:

Your billing address must match the address on your credit card statement.

Name:

Address:

City:

 State: Zip: Country:
Phone:

e-mail:

Shipping Address:

If your shipping address is different than your billing address, please complete.

Address:

City:

 State: Zip: Country:
 

We accept Visa and MasterCard.

cc type:

Number: Exp:

 

I hereby authorize tablehockeyshop.com to charge my credit card account and ship the merchandise to the shipping address above.
You will be billed as Tablehockeyshop.com
Signature:


Must include your hand signature.

Items Ordering:

The Stiga Table Hockey Game is $99.99 which includes shipping. If you live outside the USA, email us for shipping rates.

Item Name # of items item price subtotal

Goods Subtotal:

    

Shipping:

PA Residents add 6% sales tax

    
Total: (Do not send cash)    

Residents of Canada, Hawaii, Alaska & Puerto Rico and other countries outside the USA will have higher shipping rates. Please e-mail your zip code or country information for shipping prices to those locations.
If ordering a game, we can ship 4 extra teams and pucks at no additional shipping charge. If you are ordering parts only, the shipping rate will depend on zip code and which parts you need. For exact rates in advance, please e-mail us.
How did you hear about us: