To:
Subject:
Name:
E-mail Addr:
Company:
Address:
Address:
Address:
City: State: Postal:
Country:
Work Phone:
Work Fax:
Item Descriptions:
Name On Card:
VISA/MasterCard #:
A.Exp./Dinners
Expiration Date:
Bank to Bank: Wire transfers from your bank to our bank in USA dollars.
With the following information. "Please Print & Fax"
Date of Transfer ________Transfer #_____________________
International Bank of Commerce ~ McAllen, TX 78501~ (956) 686-0263 ~
ABA # 114902528 ~ ACCT # 5552900201 USAscopes
Checks & Travelers Checks: Foreign Checks drawn on USA Banks.
(These are credited once our bank notifies us that it has cleared)
You may copy and/or enlarge this form, for your convenience.
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