Kept For Her Mail-in Order Form for those who would rather use snail mail
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		If you desire to mail in your Kept For Her order, please print this form, fill it out and send it in with your payment.  If you are paying with credit card, please fill in the proper fields.  If you are sending in a Money Order or a check, you do not need to fill in the fields associated with credit card information.
	Shipping and Contact Information - if we need to ask you a question about your order, it will be helpful to have your e-mail and/or phone number. Name:        _______________________________________________________________________ Address:    ________________________________________________________________________ City, State, Zip:    __________________________________________________________________ Phone:       ____________________________________ E-Mail Address:  ____________________________________________________________ Payment Method:   ___ Money Order      ___ Check      ___Credit Card (fill out below) Name on Credit Card:  _______________________________________________________ Type of Card:   ___  Visa      ___ Master Card      ___ Discover      ___ American Express Credit Card Number:  _______________________________ Expiration Date on Card:  ________________________ CVV Number (3 or 4 digits on back of card):  ___________ Order:  Fill out everything that applies to your order.   Note:  If you are specifying a special-sized KSD-G2, give us the width across your shaft in inches or mm, not the size you want the inside diameter to be. ITEM                      CB TYPE       SIZE         COLOR       QUANTITY      PRICE EACH          TOTAL ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ Shipping - for shipping choices/rates go to FAQ page and scroll down to shipping options      ___________ Grand Total:                                                                                                                        ___________ Special Instructions: ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ Mail Order to:  Personal Security Devices, Inc., 3030 Brown St., Alton, IL 62002.  Your order will be shipped by the next business day, if not the same day the order was received.  We will e-mail you when we receive your order and let you know the day it will be shipped.