Pyramyd Air Fax or Mail Order Form
Please print out this form, then enter the products you would like to buy and fax the filled out form to
fax 216-896-0896
You can also mail this form to:
Pyramyd Air
Attn: Sales Department
26800 Fargo Ave., Unit#C
Bedford Heights, OH 44146
Please complete the following sections and your order will be processed within 3 business days:
Name:_____________________________________
Shipping Address
Address:___________________________________
Address:___________________________________
City:__________________ State:______________ Zip:_________________
Cardholder Name:(exactly as it appears on credit card)______________________
Credit Card Number:__________________________________
Expiration Date:_____________
Billing Address (if different than shipping address)
Address:___________________________________
Address:___________________________________
City:__________________ State:______________ Zip:_________________
Products Desired
1)__________________________________________________ Quantity_______
2)__________________________________________________ Quantity_______
3)__________________________________________________ Quantity_______
4)__________________________________________________ Quantity_______
5)__________________________________________________ Quantity_______
6)__________________________________________________ Quantity_______
We Like to Confirm all Orders:
Email Address:______________________________
Special Instructions:______________________________________________
______________________________________________________________
Thank you for your business and we hope to hear from you again in the future!