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)
Your Name
Street Address
Suite Number
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 Description or Part Number	Unit Price		QTY.	Subtotal
		X
		X
		X
		X
			Total*

* Please refer to the shipping & handling costs at http//www.psism.com/order.htm.

3. METHOD OF PAYMENT

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

Visa MasterCard American Express Discover PayPal

If you choose to pay by PayPal, skip to Section 4 below and we will send you a Money Request via PayPal.

Credit Card Number

Credit Card's Verification Code

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 No. & 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):

FedEx/UPS Next-Day Air FedEx/UPS 2-Day Air

UPS/FedEx 3-Day (48 states only) UPS Ground (48 states only)

International Order (pick one):

UPS/FedEx Expedited (3 - 7 business days)

UPS/FedEx Express (2 - 3 business days)

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

US Postal Air Mail (? days.)
** Please be aware that postal air mail delivery 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 UPS or FedEx account number that you would like to use, please provide it in the appropriate space below. If you want to use your account of other courier or use our FedEx account to ship, please leave note in Section 5.

UPS or FedEx

* Please refer to the shipping and handling costs at http://www.psism.com/order.htm.

5. SPECIAL INSTRUCTIONS / COMMENTS

Special Note:
If a server problem occurs and after you clicked "Submit" you did not see a screen to show all information you just entered, please try to submit the order again at a later time or send a separate e-mail to sales@psism.com. You can always order by phone or fax.

We protect your privacy and credit card information!