CUSTOMER NAME: ______________________________________________________________________________

CREDIT CARD BILLING ADDRESS: ________________________________________________________________

CITY: ________________________________ STATE: ______________ ZIP CODE: ______________________

TELEPHONE: AREA CODE: ____________ # ___________________ E-MAIL: ____________________________

PLEASE CHARGE THE FOLLOWING PURCHASE FROM ALL WEB MAIL ORDER INC. TO MY CREDIT CARD

ITEM PURCHASED: _____________________________________________________________________________

                _____________________________________________________________________________
				
                                                                        TOTAL $______________
																		   
VISA ______ MASTERCARD ______ DISCOVER ________ AMERICAN EXPRESS _______

CARD NUMBER: ___________________________________________ EXP/MONTH _________ YEAR ___________

CARDHOLDER'S NAME: __________________________________________________________________________


CARDHOLDER'S SIGNATURE ______________________________________________________________________

DATE: ____________________________

RETURN POLICY: - Within 30 days of receipt of your order, you may return the product for CREDIT ONLY, less 40% restocking fee, and any shipping expenses incurred if: 1. It is in new condition. 2. With it's original packaging, and all accessories (please keep "all" materials until you are satisfied). 3. If there are any missing accessories or it is not in like new condition, an additional cost for these items will be deducted. You must call us toll-free at 1-877-570-6961 for a Return Authorization Number (RMA) first. Re-pack the product in its original packaging. Clearly mark the Return Authorization Number on the outside of the package. Send back via UPS or Truck Line. Freight must be Prepaid and item must be insured for its Full Purchase Price. We will notify you via email of your refund once we have received and processed the quality control checks on the returned item. There are No Returns past 30 days and the manufacturer's warranty is in effect when you receive the product. REFUND CREDIT is good at any of our Web Sites - AllWebScooters.com - AllWebDiscounts.com - AllWebtoys.com - AllWebRetro.com