DIRECT PURCHASE ORDER FORM                                     Accurate I.T. Services

 Bill To:

Name:
Company:
Address 1:
Address 2:
City, State, Zip:
Phone:

 

 Ship To:

Name:
Company:
Address 1:
Address 2:
City, State, Zip:
Phone:

 

 Product Description:

Part #	Item	Qty	Price	Shipping

                                                                       
                                                                                                           Total:  $___________

 Credit Card Info:

Type / Number:
Exp. Date:
Card Security Code:

 

Terms & Conditions

All retail sales via the Internet are final. The only condition under which return refund is issued is when the item is not functional upon arrival, or during the next 6 months and can not be repaired, or replace on the similar item. Items sold on eBay are covered with our standard 3 months warranty unless mentioned otherwise in the item's description. Items damaged as a result of mistreatment will not be covered. Shipping fees are not refundable.

 

By signing here I agree to the Terms & Conditions

                           

                                   
                     Signature_______________                              Date _____________

Please fax this form Att. Sales Department  614 453-0714

or mail to:  Accurate IT Services, 3840 Twin Creeks Dr. , Columbus , OH 43204
------------------------------------------------------------------------------------------------------------        

                                      For office use only.     DO NOT WRITE BELOW THIS LINE

IP: 38.103.63.61    Date/Time: 11/19/08(

Version: 4.0.1

Reference Number: _________________          Received by/date:       ___________/_______                     Note: __________________