Fax Order Form

Please complete this order form, print it from your browser, and fax to 408-846-8809

Order Information

Name: E-Mail:
Company: Phone:
Address 1:
Address 2:
City, State, Zip:
Items: Qty. Total Price ($US)

Shipping Type

Unless specified, your order will be shipped via UPS Ground. Shipping charges are typically $5-$7 for orders less than $50, and $8 to $12 for orders of $50 to $100.  Shipper:
Notify me of the exact shipping charges before processing:    NoYes

Payment Information

Credit Card: Name on Card:
Credit Card Number: Expiration (MM/YY):