PASSPORT SPORTS, INC.
 P.O. Box 540638
Merritt Island, FL 32954
888-459-1130

 Secure Order Form

This form uses a SECURE method for online ordering using a VISA or MasterCard, 24 hours a day, 7 days a week. If you do not wish to order securely online, please
choose one of the options below:

 Alternate Methods for Ordering

        Phone Orders
Best time to call is between 9 a.m. and 1 p.m. Eastern time,
Monday through Thursday. (Closed Friday through Sunday).
Please call toll-free at 1-888-459-1130 (Credit card orders only.)

        Fax Orders
Fill out the form below,  print it using your browser's print function, and fax it to 321-459-3482, 24 hours a day, 7 days a week. (Credit card orders only.)

         Mail Orders
Fill out the form below,  print it using your browser's print function, and mail it to the address above. (Check or  money order (U.S. funds), or credit card accepted.)

(Required Fields *) *Your Name: Company Name: *Email Address: *Street Address: *City: *State/Province: *Zip Code: *Area Code/Phone Number: Coupon Code: Quantity Item Number Description Price Add Shipping Charge $4 for Orders Under $50 (shipping by Priority Mail or UPS ground) Alaska, Hawaii, and Canada: $8 for orders under $50       (shipping by Priority Mail or UPS ground) FREE for Orders Over $50 (shipping by Priority Mail or UPS ground) *Grand Total of Order:      Calculator                                      *Credit Card: Select One Visa Master Card *Cardholders Name: *Card Number: (example: 5555-5555-5555-5555) *Expiration Date: *Security Code: What's this?