New Customer Address Correction

Twinleather Account Number:   
Company Name:   
Buyer (Contact):      
Address:  
City:        State:      Zip Code:  
Phone: Fax: E-mail Address:

Shipping Address

Company Name:  
Shipping Address:  
City:        State:      Zip Code:  
*Note: UPS will not ship to a PO Box

Payment Method

Please ship C.O.D./Cash (Money Order or Certified Check)
PayPal ( Invoice payment link will be sent by e-mail when order is shipped )

CREDIT CARD ( This is not a secure link at this time. You
may want to call or fax us your number)
Visa MasterCard
Account Number (please include all digits):  
Exact name as it appears on card:  
Expiration date (mm/yy):  

Items Ordered

Please remember to specify item #, quantity (color if applicable) and total.   

Subtotal          Minimum Order Charge ($40.00)           Total             Shipping and handling charges will be added to your invoice.