Order

TheListWiz Order Form

Download the pdf or Print this page and mail, fax or email it in.

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Pay By Credit Card
Pay By Wire/Bank Transfer
Order Form – Print This
Pay By Check

Pay By Credit Card

CREDIT CARD: Visa__ / MasterCard__

Please use www.paypal.com

“Send Money” to “paypal at thelistwiz dot net”

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Pay By Wire/Bank Transfer/Western Union/Money Gram

Call 877-547-8949 or email “info at TheListWiz dot net”

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TheListWiz Order Form

Date ________________

Company_____________________________

Name________________________________

Address______________________________

City, St, ZIP________________________________

Phone1___________________ Ph2______________________

Fax___________________

Email_____________________________________

Items_______________________________$__________

_______________________________$__________

Signature_____________________________________

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TAPE YOUR CHECK HERE

To Fax

Sometimes the print on a check is difficult to read after the fax process. Please take a moment and fill in all the blanks. The “answers” to the questions are contained on the face of your check.

1) ABA NUMBER: _________________________________________________
In the upper right quadrant of your check. Usually small. May look like: 70-7026/2711

2) TRANSIT NUMBER _______________________________________
Always 9 digits beginning with 0,1,2 or 3 and has “Smiley Faces” in front and back.

3) ACCOUNT NUMBER _____________________________

4) CHECK NUMBER _____________________________

5) BANK NAME & BRANCH _____________________________

5) BANK ADDRESS _____________________________

_________________________________________________________________

Name (on check) _________________________________________

Address _________________________________________

City, State & Zip _________________________________________

Signature (as on check):
Plz sign to the right in clear white space

PLEASE SIGN CHECK AND IN THE CLEAR, WHITE SPACE ABOVE.
RETURN VIA FAX TO 760-400-3033 OR EMAIL “info at thelistwiz dot net”

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