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PCI QUICK REFERENCE GUIDE ORDER FORM Please completely fill out the following information and allow 4-6 weeks for processing. Payment is required before orders will be fulfilled. Be sure to fax this form to +1 (781) 623-0740. Thank you. First & Last Name: Company: Address: Email: Phone: If you have any questions, please contact [email protected]g or +1 (781) 876-6231. For orders 1,000 +, you may add your company logo. Please provide the logo in a print-ready file format (such as .ai .eps, .jpg, .pdf, .ps, .psd, .tif; color mode: CMYK; resolution: 300dpi). Please email the logo to at [email protected]. Ship to address (we cannot ship to PO Box): PCI Security Standards Council, LLC 401 Edgewater Place, Suite 600 • Wakefield, MA USA 01880 Phone: +1-781-876-8855 • Fax: +1 781-623-0755 www.pcisecuritystandards.org Quantity Information 20-49 $10.50 each 50-100 $9.00 each 100-1000 $7.25 each 1001+ $6.25 each Custom Orders (1000+) $7.75 each Shipping and handling are included. Quantity Invoice Me Billing Contact: Billing Address: Pay by Credit Card: Card Type: Card Number: Expiration Date: Security Code: Billing Zip Code: Name on Card: Signature: Price per piece $ Shipping & handling $ Included TOTAL INVOICE $

PCI QUICK REFERENCE GUIDE … · 2014. 12. 2. · PCI QUICK REFERENCE GUIDE ORDER FORM Please completely fill out the following information and allow 4-6 weeks for processing. Payment

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Page 1: PCI QUICK REFERENCE GUIDE … · 2014. 12. 2. · PCI QUICK REFERENCE GUIDE ORDER FORM Please completely fill out the following information and allow 4-6 weeks for processing. Payment

PCI QUICK REFERENCE GUIDE ORDER FORMPlease completely fill out the following information and allow 4-6 weeks for processing. Payment is required before orders will be fulfilled.

Be sure to fax this form to +1 (781) 623-0740. Thank you.

First & Last Name:

Company:

Address:

Email: Phone:

If you have any questions, please contact [email protected] or +1 (781) 876-6231.

For orders 1,000 +, you may add your company logo. Please provide the logo in a print-ready file format (such as .ai .eps, .jpg, .pdf, .ps, .psd, .tif; color mode: CMYK; resolution: 300dpi). Please email the logo to at [email protected].

Ship to address (we cannot ship to PO Box):

PCI Security Standards Council, LLC401 Edgewater Place, Suite 600 • Wakefield, MA USA 01880

Phone: +1-781-876-8855 • Fax: +1 781-623-0755www.pcisecuritystandards.org

Quantity Information20-49 $10.50 each

50-100 $9.00 each

100-1000 $7.25 each

1001+ $6.25 each

Custom Orders (1000+) $7.75 each

Shipping and handling are included.

Quantity

Invoice Me

Billing Contact:

Billing Address:

Pay by Credit Card:

Card Type:

Card Number:

Expiration Date: Security Code:

Billing Zip Code:

Name on Card:

Signature:

Price per piece

$

Shipping & handling

$ Included

TOTAL INVOICE

$