Introduction To Sealing Technology Manual Order Form
To place your order using this form, simply print it out, indicate your quantity, and complete the rest of the form. Be sure to include your correct shipping address and credit card information. Once complete you may then fax it to (770) 389-0652 or (888) 353-7325.
| Qty. | Format | |
| _______ | CD-ROM - $199.00 (Only available on CD-ROM) |
Tax (7% tax for U.S. Georgia residents): $___________________
Subtotal: $_______________
Shipping (choose option and delivery method below)
If you would like to charge delivery fees to a shipping account, then please provide the name of the courier and account number below. Otherwise, please select a delivery method below under option number 2. Upon receiving your order we will determine shipping charges and fax this back to you for your reference with the EPM acknowledgement area complete.
| Option #1 - | Courier (UPS, FedEx, or DHL)_______________ |
|
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| Courier Account No.___________________ | |||||
| Option #2 - | For the 48 U.S. continental states (circle one) | ||||
| UPS: Ground - Second Day Air - Next Day Air | |||||
| For Alaska, Hawaii, and Puerto Rico (circle one) | |||||
| UPS: Second Day Air - Next Day Air | |||||
| For International, including Canada (circle one) | |||||
| UPS: Worldwide Delivery |
| Ship To Information (No P.O. Boxes) Name:_________________________________ Address:______________________________ ______________________________________ ______________________________________ City:___________________ St:_____________ Zip code:_________ Country:______________ Phone:________________________________ Fax:__________________________________ E-mail Address:_________________________ |
Bill To Information (If different from Ship To Information) Name:___________________________________ Address:________________________________ ________________________________________ ________________________________________ City:___________________ St:_______________ Zip code:_________ Country:________________ Phone:__________________________________ Fax:____________________________________ E-mail Address:___________________________ |
Payment information (circle one) : Mastercard - Visa - Discover - American Express
Please note that EPM, Inc. will appear on your credit card statement.
Name on Credit Card:_____________________________
Credit Card Number:______________________________ Exp. Date:____________
SEND BY FAX TO:
(770) 389-0652 or (888) 353-7325
Orders usually ship in 1-2 business days.