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BILL TO: 
Company:______________ 
Address:___________________
___________________________
City:___________St:_____Zip:_____
Country:___________ 
Attention:________________ 
Phone:__________ 
Fax:_____________
Email:_______________

SHIP TO:  Same as Bill To
Company:______________ 
Address:___________________
___________________________
City:___________St:_____Zip:_____
Country:___________ 
Attention:________________ 
Phone:__________ 
Fax:_____________
Email:_______________

Customer ID:______________  
Part #
Description
Quantity
Unit Price
Total
         
         
         
         
         
         
         
         

Notes:

 

Sub Total:


Shipment Method:
   UPS Ground 2-Day Next-Day
  Canada Standard International

rates will be calculated and added to your order total when processed.
 


Method of Payment:
  COD:  Cash

Credit Card: Visa  Master Card Discover American Express 
Card #: ______________________________________ Expiration Date: _____________

CVV Number: ________
Name of Card Holder (Print):  ________________________________

Signature: ________________________________________________
 

Terms & Conditions:

FOB: FLORIDA ZIP 33762

International Orders: you MUST include a copy of the front and back of your credit card showing the card number, expiration date, signature, and CVV number. Without this information we cannot process your order.

Returns: Call for a RMA# Before Returning Items for Exchange within 30-Day of Invoice
Day. A 20% Restocking Fee will Be Charged for Returns without Defects;$25 charge for undeliverable packages.

Prices:
7.00% Sales Tax will Be Added for FLORIDA ORDERS.

                                                                      Prices Subject to Change without Notice

Please fax your order to the 24-hour Fax Line at 727-209-1302


E-Mail Sales: sales@USBMax.com | E-Mail Tech Support: tech@USBMax.com
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