Instructions to Fax or Mail your order form:
Print and complete the form below. Please include $3 for shipping and Handling or 
provide a credit card number below. 

FAX it to: 770-645-7873 (24 hours a day)
Or
Mail it to:

    AMC INC.
    PMB 700
    10800 Alpharetta Highway  Suite 208
    Roswell, GA 30076
    
First Name:________________________________________________________________

Last Name:_________________________________________________________________

Street Address:____________________________________________________________

Apt., Suite or Floor:______________________________________________________

City:________________________________________        State/Province:_______  

Zip Code:_____________________

Country:___________________________________________

Fax:__________________________________________________ (optional)

E-mail address:___________________________________________________ (optional)

Credit Card 

Type (circle one) VISA    MC    DISCOVER   AMERICAN EXPRESS

Number ________________________________________________

Exp Date  (MM / YY ) __________ / ___________


AMC ID: 74491


COPYRIGHT 2000-2001 AMC, Inc.