S A L E S   O R D E R   F O R M

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    CUSTOMER     DISTRIBUTOR     NEW CUSTOMER             
P.O.#/ RFQ#/ PROJECT: DATE: BUYER:
COMPANY NAME: TEL:
STREET: FAX:
CITY: STATE: EMAIL:
ZIP:    COUNTRY: BILL TO:
REF: STREET:
REP. NAME:CITY: STATE:
INDUSTRY:ZIP:     COUNTRY:
SIC Code: ATT:
ITEM QTY. LEDTRONICS PART NO. DESCRIPTION NC/NR PRICE TOTAL AMOUNT
GRAND TOTAL

SHIP VIA: UPS-S    UPS-RED    FED XP    OTHER      FREIGHT ACCT No.

CREDIT CARD TYPE:
VISA MASTER CARDAMERICAN EXPRESS DISCOVER

CARD NUMBER:     CARD HOLDER NAME:     EXPIRY DATE:

  Security information

NOTES:
 
CC this form: (Email Address)
        1. 2. 3.
        4. 5. 6.

TERMS:
* F.O.B. Torrance, CA                                                                                                 * Prices do not include cost for special handling, special packaging
* No cancellations within 60 days of sheduled ship date without prior written approval.         * DD250's
* No reshedules within 30 days of ship date without prior written approval.;                        * Source inspection
* Standard warranty : 3 years from ship date.                                                                * Special certification other than standard C of C
* (Pricing for these services must be requested prior to placement of order.