Check or Money Order Form: print and fill in, then mail

Name______________________________________

Address____________________________________

City_______________________________State______ Zip___________

Email______________________________________

Phone______________________________________

Amount Enclosed_________________

Check or Money Order #______________________

Which Credit Card?__________________________

Credit Card #________________________________

Three/four digit Code______

Name on Card__________________________

Email_______________________________________________

Please mail to: GYST Ink, 4223 Russell Ave, Los Angeles, CA 90027-4511