Total Security Group, Inc.

1580 N. Northwest Hwy., #222 Park Ridge, IL 60068

email to:

tsg@1580@gmail.com

Fax/Mail

Order Form

QUESTIONS?

PLEASE CALL CUSTOMER SERVICE AT: 773 775-7600

In case we need to contact you about your order… 

Daytime Phone:  (            )             -

Email Address:                                               

All contact information is kept strictly confidential and is only used as needed to process your order. NO REFUNDS OR RETURNS Defective Items will be exchanged only...Thanks!

VISA____MC_____AMEX____DIS_____.

NAME ON CARD:_________________________________

CREDIT CARD #_________________________________

Exp:_____/______Signature:_____________________________

3 # V CODE ON BACK OF CREDIT CARD_______      _4 # AMEX ON FRONT_________

Bill To Address:  (Must match exactly as it appears on credit card statement if paying by credit card.) Ship To Address:  (leave blank if same as “Bill To”.  Street address is required.  We do not ship to PO Boxes.)

Name:

Name:

Street:

Street:

City:

City:

State:                            Country:                   Postal/Zip Code:

State:                            Country:                   Postal/Zip Code:

 

QTY

 

Product Description

Unit Price

Total Price

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

      SHIPPING  
      TOTAL  

DELIVERY CHARGES .......$48.00 over night delivery, $31.00 Two-Day $14.00 Ground