Electronic Bank Drafts
309 N. Claremont Ave.
Fresno Ca. 93727
Phone Orders Call :559-458-0250 ~~ Fax Orders :559-458-0251
E-Mail Orders : Sales@electronicbankdrafts.com

Name: ________________________________________________________________

Address:_______________________________________________________________

City-State-Zip:__________________________________________________________

Phone: (______)-______-_________ Fax: (_____)-______-________

E-Mail: _________________________________________________

Visa-Master-Amex-Discover Card Number: _______  |  _______  |  ________  |   _________

Exp. Date:_____/___

Electronic Bank Drafts Pro CBF7.0 Qt. ____ @ $189.95
I would like to order additional copies Qt.____@ $100.00

Electronic Bank Drafts CBF6.5 Qt. ____ @ $129.95
I would like to order additional copies Qt.____@ $65.00

Total $ ____________ System ID #:____________________

Sign:______________________________________________________________________

Attach Check Here If Faxing Check
Thank You For Your Order
Your pass code will be issued within 72 hours of your payment verification.