Please fax your order to the 24-hour Fax Line at (408)
749-1008
BILL TO:
Company:_____________________________
Address:______________________________
City:_________________St:_____Zip:______
Attention:_____________________________
Phone:______________________
Fax:________________________
Email:_______________________
SHIP TO:
Same as Bill To
Company:_____________________________
Address:______________________________
City:_________________St:_____Zip:______
Attention:_____________________________
Phone:______________________
Fax:________________________
Email:_______________________
Customer ID:______________
Purchase Order #:______________
Part #
Description
Quantity
Unit Price
Total
Notes:
Sub
Total:
Method of Shipment:UPS
Ground
3-Day
2-Day (Blue)
Next-Day ( Red) Fedex
3-Day (Saver)
2-Day
Standard Overnight
Priority Overnight
Other: ____________________________________
Method of Payment: COD:
Cash
Check ;
30-day Term (COD and term need to be approved)
Credit Card:
Visa
Master Card
Discover
American Express
Card #: ______________________________________
Expiration Date: _______________________
Name of Card Holder (Print): ________________________________
Signature: _________________
Terms &
Conditions:
FOB:
Sunnyvale, CA; Returns: Call for a RMA#
Before Returning Items for Exchange within 30-Day of Invoice
Day. A 15% Restocking Fee will Be Charged for Returns without
Defects; $20 for Each Returned Check. Prices:
Reflecting Cash Discount; $5 Service Charge for order Less
Than $50; 8.25% Sales Tax will Be Added for
Californian Residents.
Prices Subject to Change without Notice