| World
of Fax & Copiers Order Form
|
|
You may print and FAX Orders to 845-624-2299 |
| Name | |
| Title | |
| Organization | |
| Work Phone | |
| Home Phone | |
| FAX | |
| SHIPPING ADDRESS | |
| Street Address | |
| Address (cont.) | |
| City | |
| State/Province | |
| Zip/Postal Code | |
| Country | |
| BILLING | |
| Credit Card | |
| Cardholder Name | |
| Card Number | |
| Expiration Date | |
| URL |
| SHIPPING PREFERENCE | |
|
|
Please provide the following product information:
| Product Name | |
| Model |
Please provide the following ordering information:
| QTY | DESCRIPTION | PRICE | |
All sales final. No Returns on Parts, all parts come with manufacture warranties.
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