PTClub - Order Form

Payment Method

Personal Information
First Name:
Last Name:
Address:
Zip Code:
City:
State:
Country:
Telephone:
Email:

Product Name: Price:
Shipping and handling (if any):
Total Order:

If Ordering Mail Drop
Name of Country:
Price:
Name's to Receive Mail In
Name and Address to Forward Mail To:
E-mail Contact:
Code or pin number to authenticate changes at your mail drop:

Shipping Information
Full Name:
Address:
City:
State:
Zip Code:
Phone:
Country:
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Security Code:

Comments/Questions/Feedback

Terms & Conditions
I have read and agree to the Terms & Conditions, by clicking the submit button your order is sent automatically via our SSL Secure Order Form.

IMPORTANT ANNOUCEMENT - Effective Immediately

REMITTANCE NOTICE: PTClub is pleased to accept Pecunix for your order. Bank wires, MoneyGram, Western Union or Pecunix are our recommended method of remittance as it offers the fastest way to expedite your order whilst offering the most anonymity.

In addition we can fulfil orders paid by bank swift wire within 2-3 working days from the time we receive cleared funds. We also accept cash.

Orders paid by Money Gram, Western Union or international bank wires are normally processed within 2 to 4 working days in most cases from the time cleared funds are received and credited. However please DO NOT mail or courier orders using these payment methods until we receive your order and e-mail you the pay-in particulars.

Please indicate in the drop down METHOD PAYMENT box above your preferred method of payment. Once we receive your order we will e-mail you the particulars on where, how and to remit payment via Money Gram, Western Union, BitCoins or Bank to Bank wire.

Thank you.

Sorry we do not accept personal cheque's or US Postal orders.