Credit card Fax order form or Mail order form. If you do not wish to fill out go here and Shop more
Print out this form, fill it out completely and fax it to 214-350-9853 or mail with payment to:
Advantage Copier Equipment
2101 Midway Road #140
Carrollton, Texas 75006
800-920-8086
About Us | Monthly Specials | Price List | Order Info | Fax Orders
First Name:__________________________
Last Name: __________________________
Company/Organization: ____________________________________________
Department/Division: ______________________________________________
Address:_____________________________________________
City: ______________
State/Province: ______________________
Zip Code:
Country:_________________
Telephone:( )_______________ FAX:
__________________E-Mail: ________________
Payment information
Credit Card:________________ Check, money order enclosed:________
Type Of Card: _______________
Card Number: ______________Expiration Date: ______________
Address of cardholder:________________________________________________
Signature:______________________
Product Information
Printer Make/Model:_____________________Printer cartridge number:_________________
Quantity of cartridges:______ Price of cartridge( as stated in the pricelist):____________
Sub total:_________
Sales Tax (.0825) for Texas residence________
Total Amount:_________________