Printable Order Form for FAX or Mail
 

Credit Card Orders: For faster service on credit card orders, PRINT AND FAX THIS FORM with your credit card order to 800-349-0720.

Mail Orders/Fax Orders
Please fill out the order form completely and mail to the address below or PRINT AND FAX THIS FORM with your credit card order to 800-349-0720.

MAKE CHECKS OR MONEY ORDERS PAYABLE TO: CHARTER FINANCIAL, 5615 Morningside, Suite #100- Houston, TX 77005

(IF PAYING BY PERSONAL CHECK, please allow 10 days for personal checks to clear our bank)

Name                                                                                                        Date
Address
City                                                                                      State           Zip
Country                                           E-Mail
Phone AM                                        Phone PM
Shipping Information, if different than above. Business, or Gift Receiver's Name if shipping to them.
Name	FAX #
Company Name
Address
City                                                                                       State          Zip
Country
Visa, MasterCard, Discover, or American Express No. and Exp. Date.
Confirm my order by:     Email       FAX      Phone
Signature:

If Mailing, Enclose Check Or Money Order. DO NOT SEND CASH.   All Prices Are In US Funds.

Please Use Back or Dark Blue Ink Only.

MAKE CHECKS OR MONEY ORDERS PAYABLE TO:

CHARTER FINANCIAL, 5615 Morningside, Suite #100- Houston, TX 77005

(IF PAYING BY PERSONAL CHECK, please allow 10 days for personal checks to clear our bank)

PLEASE PROCEED TO PAGE 2