Consolidated
Electronics, Inc.
705 Watervliet Avenue
PO Box 20070
Dayton, Ohio 45420-0070
Telephone 1-937-252-5662
Toll - Free 1-800-543-3568
Fax 937-252-4066
EMail: cei@ceitron.com
| Name | ____________________________________________________________________ |
| Address | ____________________________________________________________________ |
| City/State/Zip | ____________________________________________________________________ |
| Phone Number | ____________________________________________________________________ |
| Date | ____________________________________________________________________ |
PART
NO |
QUANTITY |
DESCRIPTION |
PRICE
EA
|
TOTAL |
|
|
Sub Total | |||
| S & H |
|
|||
| Total | ||||
| Payment Options: |
COD_______ - Visa or Mastercard_______ - Check_______ - Approved Net 10 Days_______ |
Card No.____________________________________________ Expiration Date _______ |
| Name on card________________________________________ |
| Shipping Method: |
| UPS - UPS Ground _____ - UPS Next Day Air _____ - UPS 2nd Day Air _____ - UPS 3 Day Select _____ |
| Post Office - _____ |
| FedEx - Economy _____ - Fed Ex Priority _____ |
|
Right
click; Save As. |