PC Power & Cooling Product Order Form
Fax Order Form to (760) 931-6988

Name __________________________________
Phone No. __________________________________
Fax No. __________________________________
VISA/MC/AMEX No. ______________________________
Card Security Code ______________________________
Exp. Date ______________________________
Signature ______________________________
Shipping Address Cardholder Name and Billing Address
O Residential   O Commercial
___________________________________________  __________________________________________
___________________________________________  __________________________________________
___________________________________________  __________________________________________
___________________________________________  __________________________________________
Product Description

Quantity

Unit Price

Extension

___________________________________________  _____________ _____________ _____________
___________________________________________  _____________ _____________ _____________
___________________________________________  _____________ _____________ _____________
___________________________________________  _____________ _____________ _____________
___________________________________________  _____________ _____________ _____________
___________________________________________  _____________ _____________ _____________
___________________________________________  _____________ _____________ _____________
Domestic Shipping:
Signature Required?   OYes   ONo
Subtotal _____________
OFedEx Ground    $5 + 4% of subtotal.
 
OFedEx 2-Day    $10 + 8% of subtotal
 
OFedEx Std. Overnight    $20 + 12% of subtotal
 
OFedEx 2-Day Collect    Acct#___________________________
 
OFedEx Std. Overnight Collect    Acct#_____________________________
 
International Shipping:
 
OAPO Priority Mail  
$15 + 8% of subtotal
 
OFedEx Canada   $20 + 12% of subtotal
 
OFedEx Europe   $30 + 15% of subtotal
 
OFedEx Japan   $30 + 15% of subtotal
 
OFedEx Other   $40 + 20% of subtotal
 
OFedEx Collect    Acct#_____________________________
7.25% Tax
(CA Only)
 
_____________
 
Shipping
 
_____________
 
Total
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
_____________
 
PC Power & Cooling, Inc., 5995 Avenida Encinas, Carlsbad, CA 92008 USA
1-760-931-5700 • 1-800-722-6555 • Fax 1-760-931-6988

Products, specifications and prices subject to change without notice. ©2006.