AMERICAARTGALLERY.com ORDER Form

AMERICA ART GALLERY ORDER PAYMENT FORM

AmericaArtGallery.com and Auction Checkout and Payments:
You may also call us at 310-598-7991 to pay by telephone. We accept Credit Cards, Visa and Master card, Checks, Bank wires and Bank transfers as payment methods. Call or email us at sales@americartgallery.com for any questions.

Auction Orders may be paid directly using our Secure Encrypted site here. All personal information is 100% confidential. If paying for auction items please wait until the Auction is COMPLETED and you have won before completing this Checkout. You will receive a confirmation Email from us.

AMERICAARTGALLERY.COM PURCHASE PAYMENT

Qty	ITEM NAME or Item Number	COST







	Tax For California residents 9.75% Total:
	Shipping Total:
	ORDER TOTAL:

ENTER PAYMENT INFORMATION We accept Visa and MasterCard. Please confirm and make sure that the information you enter matches exactly the information registered with your credit card company you are paying with.
Name:
Company:
Street Address:
Address (cont'd):
City:
State:
Zip:
Country:
Day Phone:
Evening Phone:
Email Address:

ENTER BILLING INFORMATION
Type of Card
Name (exactly as it appears on Card):
Card Number:
Expiration Date:
CVV number, the 3 digit number on the back of card:
Total Due:

Special Instructions:
Please enter any additional info or instructions here! Such as if you would like your merchandise shipped to a different address, etc. Then indicate that information here.