Shoko's Fax Order Form. Please fill out everything then print the form. Add your credit card information by hand at the bottom of the form and be sure to include your card's expiration date and 3 digit security code number located on the back of your card. Then fax your order to 540-348-3442. We do not accept American Express or foreign based credit cards for faxed orders. Shipping costs are based on weight, insurance and USPS zones. If you need to know the exact cost before ordering, or if you would rather submit your card information over the phone please call us at 1-800-654-4394 and we will be happy to determine your exact charges. You can also request that we send you a Pay Pal invoice so your transaction can be handled securely online with any major credit card via Pay Pal.

All personal and sales information submitted is kept in the strictest of confidence.
No personal information will be sold or shared with a third party.

Full Name :

Have you ordered from us in the past? YES or NO. If you have moved since your last order, we will need your old address.

Shipping Address: Required Include your Apartment # and or PO box number if you have one.



Zip Code / Postal Code

Mailing/Billing Address if different from shipping address. Include Po box, City, State & Zip Code :

Telephone (Day) : required

Telephone (Evening) : required

E-mail: Please Note: (If you make a mistake we will need your E mail address to contact you)

Card Holders Name : required

Automatic Orders? : If you have selected an Automatic buyers price, we need to know how often you would like the product shipped. We will not ship any product to you automatically without your request.