| Radioware & Radio Bookstore FAX/MAIL Order Form |
| Simply print this page from your Web Browser, fill it out and Fax or Mail. |
| MAIL: Radio Bookstore, PO Box 209, Rindge NH, 03461-0209, USA FAX: (603) 899-6826 |
Return to Main Menu |
| Enter Ordered By/Bill To Information | ||||||
| Name: | Hamcall: | |||||
| Company: | ||||||
| Address: | ||||||
| City, State, Zip: | Country: | |||||
| Telephone No: | E-mail: | |||||
| Enter Ship To Information | ||||||
| Name: | ||||||
| Company: | ||||||
| Address: | ||||||
| City, State, Zip: | Country: | |||||
| Enter Items Desired, Quantities, and Prices | ||||||
| Item Number |
Item Description |
Unit Price | Order Qty |
Extended Price |
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| Enter Payment Method Below | Subtotal | |||||
| Check or Money Order (write check #): | ||||||
| Charge My: | MasterCard | VISA | AMEX | Basic S&H Charge1 | ||
| Credit Card Number: | S&H Surcharge2 | |||||
| Expiration (month/year): | TOTAL | |||||
| Credit Card Security Code: | ||||||
| Name as on Card: | Signature: | |||||
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1 Note: Please enter the minimum S&H charge from the Basic Shipping & Handling (S&H) Charges Table. 2
Note: Please enter any S&H Surcharge for large,
long, or heavy items. 1 & 2
Note: Do not include any S&H funds for items
noted as "Shipped by Truck". |
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