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
$
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