KRISTAL-FISHING

Global Trading & Ventures, Inc.
4343 W. Flagler Street, Suite 505
Miami, Florida 33134
Phone (305) 444-3010 Fax (305) 461-3247
E-MAIL azerbone@gate.net

First Name
Last Name
Company Name
Address
City
State
Country
Zip Code
Phone Number Office
Phone Number Home
Phone Number Cellular
Fax Number
E-Mail
Item (s) requested
Credit Card Type
Credit Card Number
Expiration Date
Billing Address with Zip code
IF CREDIT CARD IS ISSUED BY NON USA FINANCIAL INSTITUTION , YOU
MUST FAX PHONE NUMBER OF CREDIT CARD ISSUING FINANCIAL
INSTITUTION, COPY OF CREDIT CARD, COPY OF PASSPORT OR DRIVERS
LICENSE AND SIGNED AUTHORIZATION TO CHARGE CARD
Comments