The Freebooter Order Form

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	The Freebooter Order Form

Personal Information
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Country:
Telephone:
Fax:
Email:

Product Name:	Price:





Shipping and handling (if any):
Total Order:

Shipping Information
Full Name:
Address:
City:
State:
Zip Code:
Phone:
Country:

Payment Method

Credit/Debit Card Details (Credit/Debit Card Purchasers Only)
Credit Card Type:
Name on Card:
Credit Card Number
Expiration Date: (Month-Year)
CVV2	Help

Further Information and/or comments

Terms & Conditions
Orders are dispatched after payment has been received therefore all cheques/checks will be cleared prior to dispatch of goods. Please allow 21 to 28 days for airmail delivery, courier delivery is faster and more reliable.

IMPORTANT
Your credit card statement will reflect a payment to Cannon or Cannon Trust.

US dollar international money orders carry a surcharge of $15 to cover bank charges.

By clicking the submit order button your order is automatically encrypted and sent to our order department via our secure server. Your personal information is secure.