J & M Diamond Tool - Payment Form

J & M Diamond Tool, Inc.

Payment Form

This form is to be used for the payment to J & M Diamond Tool

for products or services not covered in other online order forms.

Payment Form

Items with Asterisk Required

Name:

Address:

Address line 2:

Address line 3:

Address line 4:

ZIP:

Country:

Telephone

Day Evening

Internet E-Mail:

In the box below please specify what this payment is for.

Payment for:

Amount of Payment:

If Price unknown your Card will not be charged until an amount is established.

Payment Method

We use Americart's secure server for our online ordering, Americart; a trusted name in E-commerce.

Updated 9 April, 2012