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For security reasons and fraud protection
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This Form Is Secure When
After Clicking On "SUBMIT SECURE ORDER".
Required Fields = *
*
Customer ID:
*
EMail Address:
*
Phone:
Shipping Information
Incorrect shipping address will result in extra shipping
charges to reship.
*
Shipping address is
Commercial
or
Residential
*
Ship to Company:
*
Ship to Name:
*
Shipping Address:
1
2
*
City Shipping To:
*
State Shipping To:
*
Zip Code Shipping To:
Is the Address Above
Different Than Your
WHOLESALE REGISTRATION?
YES,
NO
*
Method of Payment:
COD orders are limited to $150.00 for first four orders
with no problems or with prior authorization.
Foreign Orders (See
terms)
* Credit Card Information:
*
(only if paying by CC or we do not have it on file under
your instructions)
Number:
Exp. Date:
Security Code:
Last three numbers on the back of your card
Name on Card:
Address of Cardholder:
City State and Zip of Cardholder
Special
Instructions or Code # Use Only in special
cases
If you have ordered
in the past and have a new address please inform. No need
if we have shipped to the right address with your last order.
Allow 5
- 10 working days for shipping. Shipping will be added to your
order (see
Terms)
This Secure Certificate is issue to our root domain
www.jmw.net
For our security
and peace of mind, when
using "Submit Secure Order" going through the following:
Your secure order goes through Propagation Networks Inc.
Signed by: Equifax Secure Inc.
Encryption: Highest Grade (RC4 with 128-bit secret key)
This Secure Certificate is issue to our root domain
www.jmw.net
Wholesale Registration
If you have not Registered do so after sending this page.
DO NOT go their now you may loose your cart.
Just use the back button on your browser and click below
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users
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