Please print out following info and fill out your name, address, and the other orders from our store www.premiertek.net (if any).
Payment without the following info will not be processed and it will be delayed!!

Please send your payment payable to:
Name: "Premiertek.net"
Address: 12285 Colony Ave.
              Chino, CA 91710

#####Please write your name and address clearly!!####
 

    Please send your payment with the following information,
    so we can process your order.
    ** Please print. **
    Money Order# _______________
    or   Check# _______________

    E-Mail: _______________

    Your Name and Shipping Address:

    Name:______________________________________

    Street Address:_______________________________________

    City :_______________________________________

    State:___________ Zip Code:__________________ Country (if not in US):_____________

    Phone#:____________________________________________(optional)

    Item Name: ________________________________________________

    ebay Auction/item# : __________________________

    Quantity : _______