You can use your credit card to place an order one of two ways:

Call our toll free order line 1.866.238. 9891 and speak with an operator or fill out this form and fax it 1-225-296-5903 in with your order.

Choose your Card

                    American Express

                    Discover

                    MasterCard

                    Visa

Information on the card:

(make sure the information is exactly like on card)

    Name:                                                                                                                      

    Card Number:                                                                                                        

    Expiration Date:                                                                                                     

    Last three secure numbers on rear of card:                                                       

How to contact you to confirm your order:

    Your Name:                                                                                                                      

    Telephone number to confirm your order:                                                                 

    In sending this information via fax, no orders will be placed until we can contact you and conform your order. This is for your security.