Credit card information form
When completed please fax to Top Shelf Comics (call for fax number)
or the information may be phoned in at 207/947-4939 during business hours
Used for the purpose of ordering from Top Shelf Comics
Information about credit/debit card being used:
Name of Cardholder: (As
it appears on the card)
Billing Address of credit card:
City State .
telephone number ( ) .
night time( ) .
fax number ( ) .
Type of card: (cirle one)
card number: .
expiration date: .
CVV2 number: . cvv2 number is located on back of the card
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