Shipping Information

Name _______________________________________________________

Address ____________________________________________________

City ____________________________ State ______ Zip ___________

Phone # ______________________

Billing Information

Name _______________________________________________________

Address ____________________________________________________

City ____________________________ State ______ Zip ___________

Phone # ______________________

Please place me on the Bickersons.com emailing listing

My email address is :______________

Card #
| __ | __ |__| __ | __ | __| __ | __ | __ | __ | __| __ | __ | __ | __| __ |

Expiration Date ____ / ____

CSC # _________

(On MasterCard, Visa & Discover the CSC # is the group of 3 digits on the right side of the signature strip on the back of your credit card. For American Express, the CSC # is the printed group of 4 numbers on the right side of the front of your card.)

Date ___________________

Please send your payment to:
Bickersons.com
Orders
2702 Castle Heights Place
Los Angeles, CA 90034
310.287.2522
(Monday - Friday 9 AM - 5 PM PST)
310.287.2525 fax

We accept MasterCard, Visa, AMEX, Discover, personal checks (mail order only) and money orders

We also accept PayPal.  Contact us via email or fax.

California residents add % 8.25 sales tax

Retailers and distributors, please call for volume discounts