Sandown Wireless Order Form

In Microsoft WORD          In Adobe .PDF

19 Phillipswood Road, Sandown NH 03873

FAX To: 603-887-2117    Office: 603-425-9876    Cell: 603-548-0125

Please Print Clearly, All Required Information

           Sold To: (credit Card Billing Address)                         Ship To: (Final Destination)

Name: __________________________________________  Name: ________________________________________

Address: _______________________________________  Address: _______________________________________

City: __________________State: ____ Zip:___________  City: ___________________State: ____Zip:__________

Telephone: __________________________ Fax: _______________________ e-mail: _________________________

Check Enclosed  ____    Money Order Enclosed ____     Credit Card Order ____

Purchase Order Number: (______________)  Master Card: ___  Visa: ___  Discover: ___

Card Number: _______________________________________________________________

Exp. Date: ________ Name On Card: ___________________________ Sec. Code:_______

Signature (Required if using Credit Card) ________________________________________

Returns: Full Refund Offered for 30 days if not satisfied with Supplied Products. Items must be

Returned as new, unused parts. We will make every effort to supply the correct parts for your use.

Item Manufacturer, if known: __________________________________

*Batteries, Please Supply Exact O.E.M Equipment Model and Battery P/N if you have it.

*Model: ___________________________ *OEM Battery # ______________________________

Qty---------Part Number-----------------Description---------------------Price Each----Item Total

_____  ______________  ___________________________________  _________  ___________

_____  ______________  ___________________________________  _________  ___________

_____  ______________  ___________________________________  _________  ___________

_____  ______________  ___________________________________  _________  ___________     

_____  ______________  ___________________________________  _________  ___________

_____  ______________  ___________________________________  _________  ___________

_____  ______________  ___________________________________  _________  ___________

_____  ______________  ___________________________________  _________  ___________

Sub Total Material Cost: $____________________ Shipping Charges: $___________________

Order Total: $ ___________________________U. S. Dollars


Shipping, All Items:

Add $10.50 for handling and shipping from 1 to 5 radio battery packs, in continental USA. Add  $1.50 for

each additional radio battery pack after five. For all other items, please call for a quote.

Payable in U.S.A. dollars only. Please see our warranty pages details. Shipping, depending on items is usually with UPS, FedEx,

or Motor Freight. Shipping for Medical, Computer, SLA batteries & all other types of equipment or structures will be quoted on request.

E-Mail or Fax This Form To:

Sandown Wireless, 19 Phillipswood Road

Fax To: 603-887-2117

To Contact Sales, Call 603-425-9876


Personal Information will not be given to anyone else for any reason. If you feel more comfortable calling in this order directly

to Sandown Wireless Sales, please do so. Every effort is made to protect the privacy of our customers. That is why we ask

 that you mail or Fax us this information. Never give credit card information to unsecured Internet servers. All orders are

processed the day they arrive at our office. Orders placed with credit cards are prepaid. Items typically ship within a few days.

Special order items with a lead time/backorder will quoted an estimated shipping time and be noted on your sales slip.

Dealers, Volume Customers (50+) & Government Accounts: Please call for pricing.

Office: 603-425-9876 or Fax: 603-887-2117  E-mail Direct:

We will be happy to quote your requirements.

Special pricing is available from all of our suppliers for volume sales.