PLEASE down load the credit card authorization form here DOWNLOAD and email it to PT Shamrock via CONTACT US. Otherwise your order via credit card order and payment will NOT be accepted. Thank you

 
For ALL credit card orders a 5% surcharge is added automatically. Please DOWNLOAD this credit card authorization form and email it to us as it is required. Thank you
First Name:
Last Name:
Address:
Zip Code:
City:
State:
Other State:
Country:
Telephone:
Email: Do not use an AOL e-mail address as AOL rejects our e-mails.
Currency:

Product Name: Price:
5% Credit Card Surcharge for all credit card orders.
Shipping and handling (if any):
Total Order:

If Ordering Mail Drop
Name of Country:
Price:
Name's to Receive Mail In
Name and Address to Forward Mail To:
E-mail Contact:
Code or pin number to authenticate changes at your mail drop:

Billing Information
Credit Card Type:
Name on Card:
Credit Card Number
Expiration Date: (Month-Year)
CVV2 Help

Shipping Information
Same as billing address.
Full Name:
Address:
City:
State:
Other State:
Zip Code:
Phone:
Country:
  To stop SPAM robots, please enter the 6 digit security code in the box below and remember the 6 digit code is case sensitive.
Security Code:

Comments/Questions/Feedback

Terms & Conditions
I have read and agree to the Terms & Conditions, by clicking the submit button your order is sent automatically via our SSL Secure Order Form.
Effective immediately: Please ADD a 5% surcharge for credit card orders.
Thank you.