Please Fill in the 3 boxes below and use the "Secure Deposit" button.
Rep Name: (Please provide your reps name if known)
Amount of Deposit: $

Note: It is understood that if the sale for which this deposit is being placed does not become an order, this deposit will be refunded in FULL to the consumer unless other arrangements have been made in writing. Orders with deposits are considered a priority and will be handled as such.

Feel free to provide additional comments in the "Order Comments" section on the final checkout page.