Keep this window
open when transcribing product information and descriptions.
You can then print this page
out and fax your order in, or simply press the "Submit" button at the bottom of
the screen to send your order electronically. |
| Company: |
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| Contact
Name: |
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| E-Mail*: |
*(Required to process form.) |
| Address: |
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| City/State/Zip: |
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| Country: |
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| Phone: |
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| Fax: |
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| Terms
(complete explanation below): |
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| Credit
Card Number: |
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| Name
on Card: |
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| Expiration
Date: |
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| QTY. |
P/N
or Model # |
Description |
Unit
Price |
Extended
Price |
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| If you are tax exempt, please
submit Tax id: |
Tax
(if applicable): |
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Order
Total: |
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| Explanation
of Terms: |
- Now accepting VISA and MasterCard and American
Express
- COD Company Check
- Prepayment by company check drawn on US bank
- Bank Wire Transfer to Barnett Bank, Homestead
Branch, AREA, Inc. Account #159 508 2694
- Letter of Credit. Must be irrevocable,
confirmed, sight draft with ALL bank charges the responsibility of the Buyer. Please
add $125 to cover messenger, docs, cert of origin, etc.
- Net 30 day terms available upon completion of
AREA credit application and approval by our Credit Department.
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