Focus Technology Product Order Form
Fax Order Form to 9 5 2 . 9 3 3 . 0 7 0 0
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| Name |
__________________________________ |
| Phone No. |
__________________________________ |
| Fax No. |
__________________________________ |
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| VISA/MC/AMEX No. |
______________________________ |
| Card Security Code |
______________________________ |
| Exp. Date |
______________________________ |
| Signature |
______________________________ |
|
| |
| Shipping Address |
Cardholder Name and Billing Address |
| ___________________________________________ |
__________________________________________ |
| ___________________________________________ |
__________________________________________ |
| ___________________________________________ |
__________________________________________ |
| ___________________________________________ |
__________________________________________ |
 All
information provided above is accurate and current. |
Product Description
|
Quantity
|
Unit Price
|
Extension
|
| ___________________________________________ |
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| ___________________________________________ |
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| ___________________________________________ |
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| ___________________________________________ |
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| ___________________________________________ |
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| ___________________________________________ |
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| ___________________________________________ |
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| |
| Domestic Shipping: |
Subtotal |
_____________ |
UPS Ground Add 5% of subtotal, $5 min.
UPS
3 Day Select Add 14% of subtotal, $15 min.
UPS
2nd Day Air Add 22% of subtotal, $25 min.
UPS
Next Day Air Add 22% of subtotal, $25 min.
UPS
Ground Collect Acct#___________________________
UPS Std. Overnight Collect Acct#_____________________________
International Shipping:
APO Priority Mail 15% of subtotal, $25 min.
UPS Canada 18% of subtotal, $25 min.
UPS Europe 25% of subtotal, $35 min.
UPS Japan 25% of subtotal, $35 min.
UPS Other 35% of subtotal, $50 min.
UPS Collect Acct#_____________________________ |
6.5% Tax
(MN Only) |
_____________ |
Shipping |
_____________ |
Total
|
_____________ |
| |
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Focus Technology International 1355 Park Road, Chanhassen, MN
55317 USA
1.952.345.5800 • 1.877.959.5800 • Fax 1.952.933.0700Products, specifications and prices subject to change without notice. ©2005.
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