PTS Order Form

14709 Baltimore Ave. #8

Laurel, MD 20707

(301) 317-4000 voice

(800) 787-8601 toll free

(301) 317-7713 fax

Order Form
Instructions:
1. Print this form. [click here to print], fill it in as you browse our web site.
2. Fill in the Buyer Information, Order Information and Payment Method.
3. Fax to (301) 317-7713.

Buyer Information (* indicates required information)

Company Name:

PO #

*Contact Name:

*Phone #

*Ship to Streeet Address:

*Ship to City, State & Zip:

e-mail address:

Fax #

Order Information

Quantity

Stock #

Unit Price

Extended

Subtotal:

Discount for purchases of PTS remanufactured toner cartridges (stock numbers with -R at the end) 5% off for 4-8 cartridges, 10% 9 or more

Less Discount:

Merchandise Subtotal:

Maryland residents must add 5% state sales tax on the merchandise subtotal.

Sales Tax:

Shipping & Handling: [ ] Add $5.00 COD fee (payment method 3 only) + [ ] Add $5.00 shipping if Merchandise total is less than $50.00, otherwise enter $0.00

Total Due:

Payment Method Mark one payment method and fill in the required information.

[ ]Method 1. On Account. Bill my PTS account. My PTS customer number is:____________

[ ]Method 2. Credit Card. Please charge my (circle the card you wish to use)
VISA MasterCard Discover American Express card
Card number: ______________________________________ Expiration Date:___________ Name on Card:____________________
I hereby authorize PTS to charge my credit card for the Total Due as shown on this order form. I agree to be bound by the terms and conditions of the card issuer agreement. Under penalty of perjury, I affirm that I am the cardholder named on the card.

Signature: ________________________________ Date:___________

[ ]Method 3. COD. First time orders require Cashiers check or Money Order. Include $5.00 COD fee in the shipping and handling above.

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