Contact Information and Order Form |
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| Notice to our customers: We are updating our web site and are temporarily unable to process online orders. Please complete the form below and place orders by toll-free phone, toll-free fax, or mail (you may deduct $0.45 from shipping cost if mailing your order). Thank you for your patience. | |||||||
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| Title: | ||
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Name: |
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Business Name (if office addr): |
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Address: |
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Address: |
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City,State,Zip,Country: |
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| Please check the appropriate box: | Home Office | |
| Note: We Cannot Process Your Order Without Your Phone Number and/or Email Address |
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Daytime Phone Number: |
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E-mail Address: |
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Profession: |
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Order Code |
Quantity |
Product Name |
Unit Price |
Total Price |
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Subtotal: |
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| 7% Sales Tax (FL Residents Only): | ||||
| *Shipping (see table below): | ||||
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Unless you are paying by check, we will compute the total |
TOTAL: |
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*SHIPPING in US |
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Orders up to $14.99 = $4.75 |
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Orders $15 To 29.99 = $5.50 |
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Orders $30 To 49.99 = $6.00 |
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Orders $50 To 79.99 = $6.25 |
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Orders over $80.00 = 8% of Subtotal |
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Call or Email for charges for 1, 2, or 3 day U.S.delivery.Foreign orders, email for shipping charges. |
***Please Note that all orders from individuals & private institutions must be prepaid***
We Accept the Following Credit Cards: Visa MasterCard American Express
Card Number:
Expiration Date:
Cardholder:
(Please type name exactly as it appears on your card.)
If billing address for credit card is different than shipping address, please include billing address in comment field.
| Comments: |
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30 day return privilege if not satisfied. Availability and prices subject to change without notice. Errors and omissions in computations on credit card orders will be automatically corrected. We normally ship in-stock items within 2 working days. Net 30 purchase orders accepted from governmental institutions only. Fax or mail a signed copy of your purchase order. Professional Resource Exchange, Inc. Federal ID: 59-2076060.