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ACSI Bulk Inks
7190 State Route #60 Lowell, OH 45744 United States of America |
(You may print out
this form by clicking on the printer symbol in your browser.) All prices are in United States Dollars. Telephone: +1-740-374-9949 or 1-888-728-2465 |
List of WJxxx ink numbers you need or your specific printer model:
Printer Manufacturer:___________________ Printer or Cartridge Model Number:______
| Quantity of ink you need:
_______ | Price for the ink:
$_______ | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Empty Syringe Bottle pricing is:
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Number of syringe bottles you need: ______ | Amount: $_______ | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Additional Accessories Needed (Specify):
| Amount: $_______ | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Shipping and HandlingMost of USA:Check the number of pints in your order to determine the shipping charge.
USA Outlying Regions: For shipping to AK, HI, PR, VI, MP, GU, APO/FPO use this chart.
| Amount: $_______
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| COD
Domestic USA only - COD orders are also accepted. There is a $7.50 COD fee. COD orders must be paid by cashiers check, certified check, or money order -- no personal or business checks accepted. | For COD, Check Here: ___ | If COD, add to your order total: $7.50 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Comments
Enter any comments here: |
Amount: $_______ | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Check your total. | Your order total is: | $_______
| Circle One:
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Card number | (9999 9999 9999 9999): _____ _____ _____ _____ Expiration Date | (11/99): ___/___ Exact Name on the card | (John E Smith): ______________ Billing address for your card if different from shipping address:
| ______________________________________ ______________________________________ ______________________________________ ______________________________________
IMPORTANT! | Please sign here for credit card orders ___________________________________ | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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