Shop Safe Money Order Form Please fill out the fields below and press submit (only once please!). Fields with an asterisk(*) are required to process your order, if there is a problem with the information, you will be contacted by email first, then by telephone as soon as possible. *Your name: Company name: *Your email address: *Your phone # (XXX-XXX-XXXX): Customer number: Department number: Billing Address *Street Street *City *State *Country *Zip Code Shipping Address (if different than Billing Address) Street Street City State Country Zip Code Credit Card Information: *Credit Card Name: Visa MasterCard American Express Discover *Credit Card # (no spaces) *Exact name: *Expiration Date: (MM/YY) Important: Do not press the submit button more than once. Doing so may result in duplicate charges to your credit card. Please have patience. Once your order is processed, a confirmation page will appear and you will receive a receipt in your email box. Thank you.

What's the department number? The department number is located directly to the right of your customer number on the mailing label.

Both the department number and customer number fields are optional; they simply make processing your order easier and quicker.