The Michael Wendy Group
P.O. Box 2828, Bellaire, TX 77402-2828
Tel: Toll Free 1-888-932-3688 or 713-782-9300

www.MillionBill.com

MILLIONBILL.COM ORDER FORM

Instructions: 
Type or write in your order.  Print the page then fax or mail in order.
Pay by major credit cards, cash, check, or money order.  

Make checks to "The Michael Wendy Group".

Name
Company (if applicable)
Shipping Address
Shipping City, State, Zip
Phone Number
E-mail Address
Fax Number (to receive custom order proofs)
How did you hear about us?
Billing Address
Billing City, State, Zip
Credit Card Type
Credit Card Number
Expiration Date
Products Million Dollar Bill - Traditional and New Styles
Billion Dollar Bill - Liberty and Kennedy
Laminated Bills Upgrade, T.A.M. Chocolate Bars, Sampler Packs, Money Gift Envelopes, Million Dollar Greeting Cards
Items and quantities (use new sheet if needed)
(For custom bills, just draw, fax, or e-mail the layout.)

Total Price
Comments