Tokens By
Check Order Form
Referral via #1739512
100 tokens for $11.99
| Print Name: |
| "I certify I am 18 years of age or older." Signed: |
| Email Address (required): |
| If this is for a refill, give your current Token I.D.: |
| If this is your first token purchase, you must prove adult age by mailing us a copy of your driver's license, Photo-I.D. passport, or government-issued Photo-I.D. card. |
U.S. funds only.
Make out your check or money order to Token Systems.
Mail your I.D. copy, payment, and this form to:
TOKEN SYSTEMS
10919 Randall St. #4
Sun Valley CA 91352
U.S.A.
Orders are
processed the same day they are received.
You will be sent your confirmation
by e-mail.