It's very simple to pay for our products / services online with a check. Simply complete
the form below, and we will draft a check for the amount you authorize.
All orders will be processed by:
Gonzo's Run
Charles Gonzalez
Chandler
AZ 85225
*If you would rather not order online, you can print this page, and mail to the address above.
Name:
E-Mail:
Company:
Mailing Address:
City, State, Zip:
,
Phone:
Domain: (http://)
Ordering Options:
Do you need us to transfer the domain:
Comments:
Online CHECK Info (USA only) Please use the check at the right to complete the information below.
*The sets of numbers are not always in this order
Name On Check
("A" from above)
Address on Check:
("A" from above)
Bank Name:
("B" from above)
Bank City & State:
("C" from above)
Check Number:
("D" from above)
A.B.A. Fraction:
("E" from above)
Routing Number (9 Digits):
("F" from above)
Account Number:
("G" from above)
Amount of Check:
By submitting this form, you are giving Gonzo's Run permission to draft
a check on your checking account in the amount listed above
and to open an Internet account in your name.
