ONLINE ORDER FORM FOR CREDIT CARD ORDERS

If you are an individual salesperson or dealership without an AutoComp account and would like to order by credit card, please use the order form below.

Step 1: Choose a program

Congratulations Balloon Program

$10.95 each plus USPS charges

Classic Cookie Program

$10.95 each plus USPS charges

Cookie Balloon Program

$10.95 each plus USPS charges

Step 2: Complete the following information                                        

Dealership name:
Your name:

Address:
City:
State:
Zip or postal code:
Email address:
Telephone:
Credit card type:   
Name on card:
Credit card number:  (xxxx-xxxx-xxxx-xxxx)
Verify card number: (xxxx-xxxx-xxxx-xxxx)
Expiration date:

Step 3: Complete the customer list

Please be sure to write or type the complete name and address, as well as the salesperson's name, for each customer.  Use the following format:

 

William Smith

Company Name (if applicable)

1000 S. Michigan Avenue

Chicago, IL  60611

 

Salesperson's Name

 

       
Ship to: Ship to:
From: From:
Ship to: Ship to:
From: From:
Ship to: Ship to:
From: From:
Ship to: Ship to:
From: From:
Ship to: Ship to:
From: From:
       

 

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