PTClub - Order Form

Please fill out the form below and indicate your payment as PayPal. All orders by PayPal are for US$/Eur 150 or less only!.
First Name:
Last Name:
Address:
Zip Code:
City:
State:
Other State:
Country:
Telephone:
Email:

Product Name: Price:
No Surcharge for all PayPal orders.
No Shipping and handling charges
Total Order:

If Ordering Mail Drop
Name of Country:
Price:
Name's to Receive Mail In
Name and Address to Forward Mail To:
E-mail Contact:
Code or pin number to authenticate changes at your mail drop:

Billing Information
PayPal:
Name on your PayPal Account:
Credit Card Number
Expiration Date: (Month-Year)
CVC2 Help

Shipping Information
Same as billing address.
Full Name:
Address:
City:
State:
Other State:
Zip Code:
Phone:
Country:
  To stop SPAM robots, please enter the 6 digit security code in the box below and remember the 6 digit code is case sensitive.
Security Code: rk67xg

Comments/Questions/Feedback

Terms & Conditions
I have read and agree to the Terms & Conditions, by clicking the submit button your order is sent automatically via our SSL Secure Order Form.
Effective immediately: Please note that we only accept Credit Card for our Books and Reports via PayPal. We no longer accept credit card for our other products and services.

Thank you.

PTClub