Please print a copy of this form. Fill it out completely & Fax it to 1-702-255-8064Inkjets.com 3024 Saint Tropez St.Las Vegas, NV 89128
Fax Order Form
Email Address:
Name:
Company Name:
Address1:
Address2:
City:
State:
Zip:
Phone#:
Fax#:
Quantity
Item #
Description
Price
Ext. Price
Shipping Charges for Cartridges:
US Mail $2.99 UPS Ground $6.50 UPS 3-day $9.50 UPS 2-day $17.50 UPS Next day $26.00
* Orders of $50.00 or more can deduct $2.99 from the shipping total.
Subtotal
7.25% Sales Tax for NV residents
Shipping
Total Due
Payment Information: Credit Card Type: Visa / MasterCard (circle one)
Card holders Name as it appears on card:________________________________
Card Number:____________________________ Expiration Date:___________
Signature:_________________________________________________________
Fax this completed form to1-702-255-8064Would you prefer confirmation by e-mail or Fax (circle one).
Thank You!