Please print the form, fill it out, and fax it to us at 541-688-9072. You may also use it as a reference when e-mailing or calling us. Please fill out the order form as completely as possible. Write in the system, brand, item, model, description, and price. Return to Ordering Information to read about shipping methods.
Daytime Telephone: _______________(So we may call, if necessary, about your order)
E-Mail: _____________________________
Name: ____________________________________________________
Address: ___________________________________________________
___________________________________________________
City: ________________________ State: ____ ZIP/Postal
Code: _________
SHIPPING ADDRESS (if different from billing address above)
Name: ____________________________________________________
Address: ___________________________________________________
___________________________________________________
City: ________________________ State: ____ ZIP/Postal
Code: _________
ITEMS ORDERED
SYSTEM |
BRAND |
ITEM |
MODEL |
DESCRIPTION |
PRICE |
| ________ | _________ | _________ | _________ | _____________________ | ________ |
| ________ | _________ | _________ | _________ | _____________________ | ________ |
| ________ | _________ | _________ | _________ | _____________________ | ________ |
| ________ | _________ | _________ | _________ | _____________________ | ________ |
| ________ | _________ | _________ | _________ | _____________________ | ________ |
TOTAL |
$_______ | ||||
Circle
Payment Method |
Due to the large variation in weight of the many items we carry, shipping charges are based on actual cost plus a minimal handling fee. |
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| Name:__________________________ Card Number:_____________________ Expires: __________ Billing Address ZIP/Postal Code: ____________ Signature: ________________________ |
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Return to Ordering Information