Western Union Order Page

1. Select Product (s) 2. Enter
Quantity Unit
Price Extended
Price

		Subtotal:
		3. Select Ship
		Shipping & Insurance:
		Sales Tax:
		Grand Total:

HOW TO PAY BY WESTERN UNION:
1. Write down the Grand Total amount shown above.
2. Go to

Western Union website or an office to make payment.
Payment must be payable to Glenn Welt, Henderson, Nevada USA.
You will be given a 10 digit Transaction Number. Write it down.
3. Come back to this order page, reselect items & shipping above.
CALCULATING SHIPPING COSTS outside USA & Canada:
Fill out this entire form now and click SEND ORDER.
We email exact total for your address. Then pay Western Union correct total.

After 1,2, & 3
click this

button

Shipping Notes:
Freight rates include fees for dimensional weight of cartons, zone, rural, residential delivery, fuel surcharges
to addresses in 48 states. Alaska, Hawaii, APO & outside USA shipping rates will be quoted to you by email,
before we process payment. No recipient or 3rd party billing.

Paid by:	Ship To:	click button ^ if same as billing
Name of Sender Name on Western Union	Person:
Person placing order if different:	Company:
Mailing Address for payment Sender:	Street Address:
MUST be EXACT Sender address given to Western Union
Apt/Suite:	Apt/Suite:
City, State, Zip: Country	City, State, Zip: Country
Day Phone: include area codes		We do not ship to P.O. Boxes
Email address:	< REQUIRED	Outside USA orders: include Province & Country Codes
Referred by :	< REQUIRED
Select REORDER unless 1st order from checksnet.com
Printer Model(s):	< REQUIRED
Such as Dell 2335, Hp P1102w, Lexmark E260, Oki B6500, Samsung ML-2525

PAYMENT: Enter

10 digit Transaction Number below:

Transaction #: <<< Number MUST be 10 digits and
payment MUST be sent payable to Glenn Welt, Henderson, Nevada USA

SSL

ChecksNet� protects your personal and payment information from theft or misuse by encoding and scrambling the data as it is transmitted from this secure website. We follow Gramm-Leach-Bliley Act governing privacy of financial information & comply with ESIGN Act. By submitting this form, you hereby authorize payment for item(s) and delivery service selected above. You agree to pay a fifty dollar service charge if Western Union payment is denied for any reason. You will comply with our guarantee policies. I agree to these terms & conditions < Checkmark required.

If pop-up appears when clicking SEND ORDER, required data is blank or incorrect. Go Back to correct.
After you click SEND ORDER you receive automated copy of order by email.
If page appears to flash or reload after you click the SEND ORDER button, could be a browser problem.
If we receive more than 1 copy of your order, don't worry. We don't duplicate identical orders.