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Product Ordering Information

NOTE 1: USE THE SECURE FORM BELOW TO ORDER WITH A PURCHASE BUT WITHOUT A CREDIT CARD. ONCE WE RECIEVE YOUR ORDER, WE'LL CONTACT YOU TO VERIFY YOUR ORDER, SHIPMENT DATE 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 US OR TO FAX IN AN ORDER DOWNLOAD OUR 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

© Copyright Hampshire Controls Corporation