41765 Elm Street, Ste 102, Murrieta, CA 92562

Tel: 951-270-1911 ** Fax: 951-304-1267 ** sales@incodenet.com

ORDER FORM

CONTACT NAME
COMPANY  

SHIP TO:

 
Street Address,
Suite #
(no P.O. Box addresses)
 
City, State, Zip Code  
Country  
 
BILL ADDRESS:  
Street Address
 
City, State, Zip Code / Postal Code  
Country  
 
PHONE/FAX #
EMAIL
ITEM #
PRODUCT DESCRIPTION
QTY
PRICE
TOTAL

















SubTotal
_______
Sales Taxes (8.0%) (only California orders)
_______
Shipping & Handling
_______
TOTAL
FedEx Overnight
FedEx 2-Day
FedEx 3-Day
FeEx Ground
(1 - 7 day delivery)

Circle your choice of shipping method
Call 888-272-9951 or 951-272-9951 for shipping & handling cost


Purchase Order PO#_______________________
(upon credit approval)

Prepayment by:

  • Cash Bank Deposit (call for bank info)
  • Money Order
C.O.D
$10 fee
(only for orders under $300 USD)
Bank Wire Transfer
(call for bank info)
Western Union
Pay A Bill USA

or
Quick Pay Int'l
Circle your choice of payment

NOTE: For faster processing, fax (951-304-1267) or email (sales@incodenet.com) this order form and/or company PO.