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Product Ordering Information

NOTE 1: USE THE FORM BELOW TO ORDER WITHOUT USING A CREDIT CARD OR WITHOUT USING A PURCHASE ORDER NUMBER. ONCE WE RECIEVE YOUR ORDER FORM INFORMATION, WE'LL CONTACT YOU TO VERIFY YOUR ORDER AND PAYMENT DETAILS.

NOTE 2: IF YOU WANT TO ORDER SECURELY USING A CREDIT CARD OR PURCHASE ORDER, THEN CLICK THE SECURE CREDIT CARD ORDER FORM ON EACH PRODUCT PAGE .

NOTE 3. TO MAIL OR FAX AN ORDER, CLICK HERE TO DOWNLOAD A PDF ORDER FORM.

*INDICATES REQUIRED INPUT FIELD

1). *Full name:
2). *Company name:
3). *Phone number: (include area code and extension):
4). Fax number: (include area code):
5). *E-mail address:
6). *Zip/Country Code:
7). *List product name, item number, and quantity and price for each:
8). *SHIP TO ADDRESS:
9). Fright collect billing account number (if applicable):
10). Purchase Order number:
11). *BILL TO ADDRESS:

12). *How do you wish your product shipped?	Ground Second-day Third-day Overnight Cheapest way
13). Additional comments/questions:

Hampshire Controls Corporation
1 Grove Street, Dover, NH 03821-0516
(Call Toll Free in the US and Canada) 866-496-9424 - (Worldwide) 603-749-9424
(Fax) 603-749-9433
(Email) sales@hampshirecontrols.com

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866-496-9424 Open 8am-5pm EST

Product Ordering Information

*INDICATES REQUIRED INPUT FIELD

866-496-9424

Open 8am-5pm EST