Chris’ Camera Center South
150A Laurens Street, SW
Aiken, SC 29801 803 641-0501

Internet/Phone Order (fill out and FAX to 803 641-0508)

Customer name _________________________________ DATE __________

BILLING address ___________________________________________

City ___________________ State ____ ZIP ________

SHIPPING address (if different)  ___________________________________________

City ___________________ State ____ ZIP ________  Is this address residential? yes no

phone # ___________________ e-mail address: ___________________

Card type: V MC Disc. Amex 

Person who is named on credit card _______________________

Credit card #_________ _________ _________ ________ exp date ___/____  confirmation code from back ______

Qty    Item price each extended
____ _______________________________________  $________ $________
____ _______________________________________  $________ $________
____ _______________________________________  $________ $________
____ _______________________________________  $________ $________
____ _______________________________________  $________ $________
Merchandise Total $________
SC sales tax if due $________
shipping $________
TOTAL $________

Shipping: We charge a flat rate of $6.99 for items up to 3 pounds delivered in the contiguous 48 states by Priority Mail. UPS ground service is just a dollar more. Otherwise we add the actual charges for shipping and insurance.