Mercedesashley.com Order Form (Pay with credit card or money order)
Name Of Product
Total Amount
Your First Name
Your Last Name
Email Address
Address
Zipcode
City
State
Phone Number
Credit Card Type
Visa
Mastercard
Credit Card Number
Credit Card Expiration Date
CCV Three Digit Number On Back Of Card
If you are going to pay by money order just print out this page and send both the page & money order to:
Ashley Entertainment or Mercedes Ashley
13089 Peyton Dr Suite #280
Chino Hills, Ca 91709
