UNsecured Order form for submission

  We accept: CHECK, MONEY ORDER,  MASTERCARD OR VISA  --- Please submit this form to pay for a video using our UNSECURED cgi order cart with a Visa or Mastercard only.

Notice: There are NO returns of merchandise - We will replace a defective tape or an improperly filled order upon notification!!!

ORDERING AND SHIPPING FAQ'S

You may either complete this form and hit the SUBMIT button to have the order processed via our unsecured system or you may return to the video page and submit the order using our secured online server or you may even print this page out and submit it through fax or snail mail.

Submit check or money order to:
National Resource Group
11924 Forest Hill Blvd - Suite 22
PMB  341
West Palm Beach, FL 33414

Fax Orders (561) 798-1961

PLEASE CHECK ONE METHOD OF PAYMENT AND FILL OUT ORDER FORM THAT FOLLOWS:

CHECK MONEY ORDER VISA MASTERCARD 
**credit card orders are processed under the name National Resource Group **

Please add 10% for shipping and handling. International Orders, add 10% PLUS $5. All orders will be shipped via First Class Mail. ALL ORDERS ARE SHIPPED DISCREETLY!  PO Boxes are welcome as shipping addresses 

NAME:
CARDHOLDERS NAME (MUST HAVE!):
CREDIT CARD NUMBER:
EXPIRATION DATE:
E-MAIL ADDRESS (required!):
CARD BILLING ADDRESS:
SHIP TO ADDRESS:
CITY, STATE, ZIP:
ITEMS I WANT TO ORDER: (Please put EXACT TITLE and MODEL's name as well as DVD or VHS version):



SHIP VIA: FIRST CLASS MAIL