Pick-A-Card - Order Form Patrick Kane Signed Jersey


Pick-A-Card Order Form

Cards are $50 each + 3% CC Fee ($51.50).  Limited to 52 cards sold

*Price reflects 3% credit card processing fee

Pick-A-Card $51.50 each:   *Please Select Quantity

**An image of your card will be emailed to you.

Billing Information:

First Name: 

Last Name: 

Address 1:

City:   State:   Zip Code: 

Phone:  Email:   

Credit Card Number: 

Experation Date:  / 

Credit Card Verification Code:  

I understand and approve a 3% credit card processing fee that will be added to my total.

I authorize Queen of the Rosary to charge my credit card.

   *Without this authorization Queen of the Rosary cannot process your order.

Security Measure