Order Form for Phone, Fax or Mail
(Please type in the blanks)

Quantity
Model
Price Each
Total
 
Name

Complete Email Address (needed for confirmation)

Street Address (Line 1):

Address (Line 2 if needed):
City

State

Zip

 Phone Number

Fax Number


Payment Method
 Mastercard
Visa
Discover
Bill me via Email
Paypal
Credit Card #

Expiration Date

Credit Card Verification Number (three or four digit number found on front or back of card)
Comments, Options desired, etc.
 

   For credit card orders, the total shipping will be added to your charge.

   For prepaid orders, please contact us for the total shipping and handling.
   
   Click on 'File' in your browser up at the top, then click on 'Print' to 
   
   print this form.




  Fax to :         765-452-6228



  Mail to:           Weber Speakers 

                 3111 Easy Street

                Kokomo, Indiana 46902

 

Phone Order:      765-452-1249