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UnitNumber.com Order Form

  

Please be sure you have reviewed the "Ordering Guidelines" before proceeding.

Required fields are shown in red.

  1. Please provide your contact information:

    Name:
    Company:
    Address #1:
    Address #2:
    City: State: Zip:
    Country:  
    Phone: Fax:
    E-Mail Address:

  2. Enter Order Details:

    Fill in quantity, size(s), color(s),  mounting info and your calculated prices, including holes or adhesive, in the following table.

    Quantity

    		 Size
    (H x W)    		 Color Mounting *Net Price Each
    (Include Mounting Options)
       
       
       

    Use the text box below to enter numbering sequence(s) or other comments:  (You can also fax sequence or send attachment (.xls, .doc, or .txt) in a separate e-mail.


  3. Please Select Payment Terms:

    *Important Notice - Please Read: We will confirm total, including shipping and/or Illinois sales taxes (if ordering from within IL), after receipt of your order.  Choose one of the following options as to how you want your actual order total to be handled:

    Advise Grand Total prior to starting production. I realize it may take up to 48 hours to receive the Grand Total, and that freight charges may be estimated - subject to change. (Not available on Rush Orders!)

    Advise Grand Total when shipping. I understand that the above total is for merchandise only, but would like to know the Grand Total when my order is complete.

    Just add all charges to my bill or invoice. I understand that the above total is for merchandise only and you can add tax and freight to my bill.
    Notify me via:
    E-mail     Phone     Fax   (Be sure to include below.)    No need to notify me.

     

    Select Payment Method:  

     

    Note: If you are paying by credit card we will contact you for number.

    PO # (if necessary): for companies on open terms that issue purchase orders

  4. Shipping Instructions:

 

Date Needed:   (mm/dd/yy)
 

        Ship Via:  

Ship To Address (if other than above)
  Company:
  Attention:
  Address 1:
  Address 2:
  City:   State:    Zip:
  Country:
  Special Instructions:

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Revised: 03/30/05