Product Payment Information

      Please provide the following shipping information:

     ALL INFORMATION MUST MATCH CREDIT CARD BILLING INFO.

Name as it appears on the card: Ship to Name :
Address (MUST MATCH CREDIT CARD):
Address (cont.):
City:
State:
Zip Code
Home Phone (MUST BE SAME AS ON CARD):
E-mail:

 Which Item did you purchase?

500 Watt 2 Wheel Electric Scooter
600 Watt 2 wheel Electric Scooter
900 Watt 2 wheel Electric Scooter
Retro Euro Style Electric Scooter
100 or 120 watt kick scooter State model (watt) and color:
3 wheel Mobility Scooter
ATV state model (110cc etc...) and color:
Pocket Bike state model (49cc etc) and color:
Exercise Equipment state unit (inversion table, stepper, etc):

Where did you purchase your item from:
Ebay    USER NAME:
     Auction #:
UBid
Scooters R Fun Website
Other, please state:
Amazon Auctions or Amazon Marketplace User name:
      Auction #:

For Scooter purchases:                                          
1st scooter you have purchased:
Choose your choice of the following color options
(Please refer to the auction for color choices for your model scooter):

  Choose Color Purple USA Flag Black Red Blue Silver Burgundy Yellow Pink Camo

2nd choice of color:

  Choose Color USA Flag Purple Black Red Blue Silver Burgundy Yellow Pink Camo

2nd Scooter (choose only if you bought 2 scooters):
        Choose Color USA Flag Purple Black Red Blue Silver Burgundy Yellow Pink Camo

        2nd choice of color:

            Choose Color USA Flag Purple Black Red Blue Silver Burgundy Yellow Pink Camo

If you have purchased 3 or more scooters, please email us for instructions on payment:
scooterorder@scootersRfun.com

Credit Card type

MasterCard
Visa
American Express
Discover
TOTAL AMOUNT TO BE CHARGED: $     

NOTE: A 3% fee will be added to this amount to cover credit card processing fee.

Credit Card number with spaces: (1111 2222 3333 4444)

 Security code on back of card:

  Expires ( 01/01/2009 or 01/09 etc.)

Street Number for Billing address on Card:
MUST MATCH ADDRESS ON CREDIT CARD

Zip Code for Billing address on Card:

Comments or questions including
scooter color choices, options, and shipping info:

                                  

Your card will be charged for the amount of your purchase. I use PayPal as my merchant credit card processor.
You will see "PayPal" on your credit card bill. You will also receive an email from PayPal confirming your payment.
Thank you.
Please email if you have any questions or concerns.

Cancel and Return to our home page