BUGABOO PRODUCTS

www.bug-guy.com
Order by FAX Form
Toll free fax line 1 866 344-7279  Toll free voice line 1877-207-9640  
Print this page  

Please provide the following information to complete your order
(please print and write clearly)

Must provide the following information below:

Your Information
Name: ________________________	Address: ______________________________	City, State, Zip ___________________________________
Phone: ________________________	Email: ______________________________
Shipping Information	(If different from above)
Name: ________________________	Address: ______________________________	City, State, Zip ___________________________________
Phone: ________________________
Credit Card Information
Visa  MasterCard		On the back of your card,  locate the final 3 digit number
(if different from above) Card Holder's Name:	Credit Card Number:	Expiration Date:     Verification #:
__________________________	__________________________	__________        __________
Card Holders Information	(if different from above)
Name: ________________________	Address: ______________________________	City, State, Zip ___________________________________
Phone: ________________________

You may also mail your order to: Bugaboo Pest Control 3217 NE 261 Ave, Camas, WA 98607

email  alan@getbugs.com