ArcESB Printable Order Form


PLEASE SELECT PRODUCTS



SKU PRODUCT NAME PRICE QTY TOTAL
    X    =
   X    =
   X    =
   X    =
Total  : 

***If you are a North Carolina resident, sales tax will be added to the total cost at the time the order is processed.

SHIPPING & HANDLING (PLEASE SELECT ONE)


Please select one of the shipping options below.

FedEx 2 Day - Continental US* $15.00 / pkg
FedEx Overnight - Continental US* $24.00 / pkg
FedEx International - Canada $30.00 / pkg
FedEx International - Other $40.00 / pkg
International e-Delivery** $0.00
* Continental US does NOT include Canada.
** International electronic delivery is ONLY available when ordering via Wire Transfer

PAYMENT INFORMATION



  Visa    Master Card   American Express

Credit Card Number: 
Exp Date (mm/yy):
 / 
Your billing address must be entered exactly as it appears on your credit card statement.
Please check your statement for accuracy to avoid delays in processing your order.

First Name  Last Name
Company Name
Address 
 
Email Address  
City  State  Zip Code
   
Phone Number
Country
Fax Number

SHIPPING INFORMATION



If shipping information is different than billing information, your order may be delayed for verification. Due to shipper restrictions we cannot deliver to P.O. Boxes.

First Name  Last Name
Company Name
Address 
 
 
Email Address

City  State  Zip Code
     
Country

WHERE DID YOU LEARN ABOUT US (OPTIONAL)

ANY COMMENTS...


When you have competed the order form, simply fax your order to 919.287.2230, or mail it to:
600 Market St., Suite 300,
Chapel Hill, NC
27516, USA

*Please verify that you have selected the correct product before submitting your order.
All sales are final: once purchased, no product may be returned or exchanged. Thank You!