Copyright ChevelleCD - All Rights Reserved

* SS396/SS454 Collector Coin #2 Credit Card Order Form *

SS396 Side

SS454 Side

CHEVELLECD © All Rights Reserved CHEVELLECD © All Rights Reserved
Optional Hard Plastic Protective Case
CHEVELLECD © All Rights Reserved

 

CHEVELLECD © All Rights Reserved
Credit Cards accepted are Visa, MasterCard, American Express, and Discover.

If the recipient's address is outside North America, please contact me with EXACT mailing address for country before ordering so I can check on mailing/shipping rate and give you a quote.

Note: The information entered is not checked for validity - please make sure card number/cvv is entered correctly.

If ordering ten (10) or more for a group or club, contact me for special pricing.

Use your TAB key to move from field to field.

Your email address for receipt confirmation (youremail@yourhost.com)
Your card will be charged without a valid email address but you will not receive a confirmation receipt from ChevelleCD.net
   
Enter Quantity Here
For U.S. Mailing Address  →

     Quantity via U.S. Priority Mail - $16.95 (typically 2-4 days) with hard plastic case

     Quantity via U.S. Priority Mail - $15.95 (typically 2-4 days) without case

     Quantity via U.S. First Class Package - $11.95 (typically 5-9 days) with hard plastic case

     Quantity via U.S. First Class Package - $10.95 (typically 5-9 days) without case

   
 
$  >> Your total from above

   
 
* Shipping outside the U.S. can run as much as an additional $25.00 or more depending on the country and weight as items must go First Class International Package. This postage charge will be added to the total of your credit card order. Unfortunately I never know what the exact charge is going to be until I have the complete address and total weight of the package. I will calculate the cost based on the mailing address provided and email you at the email address provided for a final cost BEFORE charging your credit card.

Please email me at admin@chevellecd.net before making a purchase if your mailing address is outside of the U.S. to get a quote or if you have any questions.

 
Ship to Name
   
Ship to Address (1)
   
Ship to Address (2) (if needed)
   
Ship to City
   
Ship to State/Province
   
Ship to Country
   
Ship to ZIP/Postal Code (xxxxx), (xxxxx-xxxx), (xxx xxx)
   

Card Information

 
Card Type (Check One)
 VISA
 MASTERCARD
 AMERICAN EXPRESS
 DISCOVER

   
Name as it appears on card
   
Card Number (xxxx-xxxx-xxxx-xxxx) or (xxxxxxxxxxxxxxxx)
   
CVV Code on back of card (xxx)
   
Expiration Date (mm/yy) (xx/xx)
   
Billing ZIP/Postal code of cardholder (xxxxx), (xxxxx-xxxx), (xxx xxx)
   
 
 >> Click here when finished then click the 'Submit' button <<