Mail/Fax Order Form 
   

Company
Pages:
       Home
      Mission
      Privacy
      Contact
      Site Terms


 
  1. You can input your information and then print the form, or vice versa.
  2. We don't charge for shipping or sales tax.
  3. If paying by credit card, please provide your phone number (used for verification purposes only!)
  4. If paying by check, please make it payable to:  Consumer Freedom Alliance (we won't wait for your check to clear.)
  5. Your email address is only used to receive our monthly newsletter giving notification of new tuneups.

Membership & Billing Information
Name:    
Address:    
City/State:      
Zip:    
Phone:  ()-
Email:    (Optional)

Payment Information
1. Paying By Check Check Number:    
I authorize a payment in the amount of $19.00:
2. By Credit Card
    (circle one)

     Visa   MC   Discover   		CC Number:    
Expiration:      /

Signature: ___________________


Thank you very much for your purchase. Your feedback is
appreciated. Please print this form and mail or fax it to us:

MAILING ADDRESS:
Consumer Freedom Alliance
14332 126th Ave. NE #B-203
Kirkland, WA 98034

 FAX:  (603) 907-8338
PHONE:  (425) 825-0906
HOURS (PDT):  M-F 9am - 5pm
   
© 2007, Consumer Freedom Alliance