The Antiquer - Credit Card Order Form

The Antiquer - VISA/MC Order Form

Please complete this form in black ink and send it to the address or fax telephone number shown below. This form may be printed by any graphical Web browser. See "How to print" below for instructions. We can only ship to the card billing address.

Mailing address:

        The Antiquer
        327 Skyline Drive
        Lewiston, Idaho 83501

Fax number:

        208-746-3628

Your E-mail address

Name exactly as shown on credit card

Type of card - Visa or Mastercard

Credit card number

Card expiration date

Billing address name on card (exact)

Billing address street (exact)

Billing address city, state, zip (exact)

Telephone number, Fax number

Your signature

Enter Items ordered below.
Be sure to include the item number from the catalog, a brief description, and the catalog price. Your order will be confirmed by letter or E-mail.

Item

How to print:

Most graphical Web browsers support printing any active document in its viewable form. Make sure you printer is turn on. The select File/Print/OK (alternative keystrokes alt-F, P, enter) using a standard page size.