California Blackworm CO.
Credit Card Purchase Agreement
Complete
this form in full and CLICK the submit button at the bottom. Then
email to blkworm@aol.com what you would
like to order. In the event you cannot use the submit button below, you can
print it, fill it out and fax to 559-291-0601 or copy and paste it and email to blkworm@aol.com
Then email direct to blkworm@aol.com
what you would like to order. We must have this form on file in for purchases to
be made.