Use the Print Command in your browser to print our offline order form.

 

 Billing Information

 

The following information must match exactly with what is on file with your credit card’s issuing bank.

 

Name

 

Address

 

City

 

State

 

Zip

 

Phone

 

Email

 

 

Shipping Information

 

Name

 

Address

 

City

 

State

 

Zip

 

Phone

 

Email

 

 

Our offline order form is intended for customers paying by credit card who do not wish to enter their payment information
over the internet. If you wish to order and pay by check please choose the MAIL ORDER option during the checkout process.

 

Credit Card Number _____________________________________

Expiration _____________(MO/YR)

 

Authorized Signature __________________________________  Date ___________

 

 

Mail your order to:
Darkside Displays
PO Box 1018
Cortaro, AZ 85652-1018

 

 

 

 

 

 

 

 

 

Offline Order Form for Darkside Displays

 

Item Number

Qty

Item Name

Web Price

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
                                                                                                            Subtotal

 

 

Items are subject to availability when your order is received. Shipping and handling is based on the size, weight, and destination of the order. A $1.50 handling fee is applied to all orders.

 

If you have a coupon code, enter the code here _____________________.

 

Check here if you would like us to email you with your shipping charges before processing your order.

 

Ship my order via:        UPS GROUND  (3-7 Days)         USPS PRIORITY MAIL (2-3 Days)

Sorry, expedited shipping is not available for orders placed offline.

 

 

 Thank you for your order.