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
_____ ______________ ___________________________________ _________ ___________
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_____ ______________ ___________________________________ _________ ___________
_____ ______________ ___________________________________ _________ ___________
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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
E-mail: sales@criticalbattery.com
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: wa1hzk@usa.net
We will be happy to quote your requirements.
Special pricing is available from all of our suppliers for volume sales.