Egypt Cyber Trade Llc Fax Order Form

1.  Select the items you need from our website: www.kingtutshop.com  

2. Find the courier shipping charges, then click on Recalculate to find out the Total sum you have to pay.

3. Print or write the details of items you selected (items names, parts numbers, items prices, shipping cost and total cost) to this form.

4. FAX this form to our toll-free no.:  800-517-9256

 

Date:

Bill to:

Ship to:  (If different than Billing

Name:                                                           

Company Name:                                            

Address:                                                       

City:                           State:        Zip:

Phone No.:

Fax No. :

Email :

Name:                                                           

Company Name:                                            

Address:                                                        City:                           State:        Zip:            

Phone No.:

Fax No. :

Email :

PAYMENT Information

o Visa    o MasterCard   o American Express    o Discover 

Card Number: 

Exp. Date (MM/YY) :       /

Card Code (3 or 4 no. at the back of the Card) :

Authorized Card Holder Signature:

Products - information

 

Ser.

Part No.

Description

Qty

Unit Price $

Total Price $

 

 

 

 

 

 

 

           

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sub Total ($):

 

 

Shipping Cost($) :

 

Total ($) :