Table Hockey Shop.com - Fax Order Form

Please type your information below, print out and fax to: 215-938-6285

Billing Address:

Your billing address must match the address on your credit card statement.

Name:

Address:

City:

 State: Zip: Country:
Phone:

e-mail:

Shipping Address:

If your shipping address is different than your billing address, please complete.

Address:

City:

 State: Zip: Country:
 

We accept Visa and MasterCard.

cc type:

Number: Exp:

 

I hereby authorize tablehockeyshop.com to charge my credit card account and ship the merchandise to the shipping address above.
You will be billed as Tablehockeyshop.com
Signature:


Must include your hand signature.

Items Ordering:

The Stiga Table Hockey Game is $79.00, shipping within the continental U.S. is $12.99
Item Name # of items item price subtotal

Goods Subtotal:

    

Shipping:

PA Residents add 6% sales tax

    
Total: (Do not send cash)    

Residents of Canada, Hawaii, Alaska & Puerto Rico will have higher shipping rates. Please e-mail your zip code for shipping prices to those locations.
If ordering a game, we can ship 2 extra teams/parts at no additional shipping charge. If you are ordering parts only, the shipping rate will depend on zip code and which parts you need. For exact rates in advance, please e-mail us.
How did you hear about us: