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O R D E R F O R
M -
Print this form and fax to 973-325-2690
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Date
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Salesperson
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PO #
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Customer Number (NCI will assign)
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You Can Now Place your order online at WWW.TRYNCI.NET
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(circle) Prepay by Check Bill Me* Bill My: MC / Visa / Amex New Account** |
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- All Products F.O.B.
National Communications Inc.
69 Washington street West Orange NJ 07052
-Minimum Order $25.00 or a $5.00 Service Charge
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Card
#__________________________________________
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Exp.
Date:_______________________________________
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Name
on Card:___________________________________
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Signature:_______________________________________ |
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*Terms are NET 15
**If you are a New Account and you don't want to pay by credit card, you may request a credit line.
(please print out NCI's credit application located on the How To Order page, fill out and fax to us)
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Retail or Tax exempt # _________________________________if you are sales tax exempt please fax Exempt Form |
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Company-Name________________________________________________________________________________ |
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Address 1_____________________________________________________________________________________
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Address_2_____________________________________________________________________________________ |
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City_____________________________________
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State____________________________
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Zip________________
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Tel_#_________________________Fax_#______________________________Contact________________________
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Company-Name________________________________________________________________________________
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Address 1_______________________________________________________________________________________
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Address_2_____________________________________________________________________________________ |
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City_____________________________________ |
State____________________________ |
Zip________________ |
Tel_#_________________________Fax_#______________________________Contact________________________
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Ship: UPS ( Ground, 3 Day
Select, 2nd Day Air, Next Day Air ), Messenger, Truck, FedEx, Other:_______________________
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Line#
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Qty.
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Part #
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Ref #
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Description
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Unit Price
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Price Extnd
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1
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2
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3
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4
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5
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To be added when processing
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Shipping
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We charge sales tax for NY, NJ and CA |
Tax
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Total
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CONDITIONS: All products manufactured by National Communications Incorporated (NCI) carry a one (1) year warranty against defects in workmanship and labor. Our warranty is limited to repairing or replacing products which prove defective upon NCI inspection. Misuse, abuse, or alteration of any product will void all warranties. All products not manufactured by NCI are warranted by their respective manufacturers. Please consult our sales staff for more details. No returns accepted without RMA#. All claims must be made within ten (10) days.SEE FULL TERMS AND CONDITIONS ON THE HOW TO ORDER PAGE
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