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

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