BoeingStore -amazon.com



Alternative Payment Form

Instructions: Please provide all requested information to ensure that your order is fulfilled promptly. “Save As” this form to your desktop. After filling in your information, “Save” and e-mail the form as an attachment back to customerservice@. You will receive an order confirmation e-mail once your order is successfully submitted. You will receive a shipping confirmation e-mail with a tracking number when your order ships.

Payment and shipping information

Name (first and last):       BEMS ID:      

Phone (during business hours):       E-mail:      

|Shipping address: | Billing address is the |Billing address: |

| |same as shipping | |

| |address | |

|      | |      |

|      | |      |

| | | |

Shipping Method: Ground Express International only*

Note: To calculate your shipping costs please visit

* International orders may be subject to customs fees or duties on arrival in your country. You are responsible for payment of these fees on delivery

Payment method (check all that apply). Shipping and sales tax, where applicable, will be added to the order total:

Pride@Boeing award points       PBS # for other than Boeing employees      

Note: All Pride@Boeing points redeemed for purchase may only be refunded for store credit.

Service Award points Points to use      

Note: All Service Award points must be redeemed in full. Any remaining balance will be issued as store credit under your BEMS ID. All Service Awards redeemed for purchase may only be refunded for store credit.

Store credit, #       Amount      

Boeing Store gift card, #       Amount      

Credit card

Note: Please do not provide your credit card number in this e-mail. We will contact you by telephone to obtain your information at the time we process your order.

Order information

Please provide the following information from the product description on for the items you wish to order.

Item name | |SKU (12 digits) | |Size | |Color | |Quantity | |      | |      | |      | |      | |      | |      | |      | |      | |      | |      | |      | |      | |      | |      | |      | |      | |      | |      | |      | |      | |      | |      | |      | |      | |      | |      | |      | |      | |      | |      | |      | |      | |      | |      | |      | |

Additional comments:      

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