PSI/TronLink On-Line Order Form

PSI / TronLink On-Line Order Form

Have you read our ordering information?

1. DELIVERY ADDRESS

Company Name (if any)
Name (of contact person)
Street Address
City
State / Province
ZIP (Postal) Code
Country (if not USA)
Phone Number (plus area code)	(Very Important)
Fax Number (plus area code)
Email Address	(Very Important)

2. ITEMS TO ORDER

Item	Unit Price		Quantity	Subtotal
		X
		X
		X
		X
		X
			Total*

* We will e-mail or phone you to confirm your order and to inform you of the shipping & handling and total charges once we receive your submitted form.

3. METHOD OF PAYMENT
Note: If you would like to prepay by check or wire transfer, please email first.

Visa American Express

MasterCard

Credit Card Number

Holder's Name as Printed on Credit Card

Holder's Phone # if different from Contact Person

Expiration Date (MM/YY)

Credit Card's Billing Address (This is the address where you receive your credit card statements.) (Very Important!)

same as shipping address

different (Street Number & Name/ZIP)

Is this credit card a corporate, government or personal card?

If your credit card was not issued in the U.S., please provide the following info about the bank that issued it.**

Bank Name

Bank Telephone Number

** There is a 3% (minimum $5.00) surcharge for international credit cards.

4. SHIPPING*

Domestic U.S. Order (pick one):

UPS/FedEx Next-Day UPS/FedEx 3-Day

UPS/Fedex 2-Day UPS/FedEx Ground (48 states only)

International Order (pick one):

FedEx International Economy or UPS Expedited (3 - 7 business days)

UPS/FedEx Express (2 - 3 business days)

UPS/FedEx Ground (Canada Only, 4 - 7 business days)

US Postal Air Mail (? days.)
** Please bear in mind that postal air mail involves two countries' postal systems and in case of a mishap, your package, although insured, may take weeks, or even months, to track. By requesting this less expensive postal mail delivery, the buyer will be responsible for the possible delay or loss).

If you have your own account number that you would like to use, please provide it in the appropriate space:

UPS

FedEx

* We will e-mail or phone you to confirm your order and to inform you on the shipping & handling and total charges once we receive your submitted form.

5. SPECIAL INSTRUCTIONS / COMMENTS

Special Note:
If an e-mail server problem occurs and your e-mail is returned, please try to submit the order again at a later time or send a separate e-mail to psi@laserballs.com.