In order to process your order, we need your authorization to bill your credit card.
Please complete the form below and fax it to 502-964-4625.

1.Fill Out the Southern Tool Supply Credit Card Authorization

2.

3. Fax To: 502-964-4625
Southern Tool Account Name:
Name on the Card:
Billing Address:
City:
State/Province:
Zip/Postal Code:
Phone:
 MC  VISA  AMEX  DISC
Credit Card #:
Credit Card Security Code:
Expires:
Printed Name:
Signature:
Date: