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Order Form

Club
Quantity


Shipping options


Destination Price Forwarder Transit time
Europe 25 Euro TNT 1-3 days
Outside Europe 30-50 Euro TNT 2-4 days

Pament Method

Pay-Pal   (4% Fee)
Bitcoin (No Fee)
Other Crypto Currency (No Fee)
Which other crypto Curency do you like to use? (if applicable)


Shipping Address

Please specify if this is a residential or business address.
We prefer to ship to a business address if possible.
Residential   Business

Company Name (if applicable)

Your Name

Shipping (street) Address

City

State/Prov.

Zip/Postal Code

Country

Day Phone (please include dashes)

Evening Phone if different (please include dashes)

E-Mail Address, required
(we will not sell or market any of your information)

Please review all information before submitting. You may "reset" the entire form if you wish.

 

Thank you for your order!