MANUAL ORDER FORM for APO/FPO addresses
Please fill out and click the send button below, and the order will be processed soon.
Samstores.com
Sam Electronics
1500 Midway Ct, Suite W8

ELKGROVE Village, IL-60007
TEL- +1800-726-9493 OR +1-847-290-1718.
+1-773-4421566
Item # Item Description Qty.
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Payment Information
Card Type *
Card Number *
CSC Number *

[The Card Security Code (CSC) is a 3- or 4-digit number printed in the signature field on the back of your credit card. On some cards, the credit card number, or part of it, appears before the CSC. The number appears only on the card itself (not on your receipts or statements). If your card has a CSC, enter it on the form.]
Expiration Date Month: Year:
Card Issuer (bank) Name & Phone No.
Card Holder Information or Billing Address
Salutation Mr. Ms. Mrs.
First Name *
Last Name *
Company Name
Address *

[Address where credit card statements are received]
Country *
State/Province *
Zip: *
City *
Phone No *

[For Security reasons, it may be necessary to contact you at this phone number before your order is shipped]
Email *
Shipping Information
Salutation Mr. Ms. Mrs.
First Name *
Last Name *
Company Name
Address *
Country *
State/Province *
Zip: *
City *
Phone No *
Special Shipping Instructions *
Please enter the word you see in the image above. *
 
 
  By providing above information, you authorize us to charge on your credit card for above purchase order.