Hampshire Controls Corp. Logo
8am-5pm EST, U.S.A.

866-496-9424

na

SECURE ONLINE PRODUCT ORDERING PAGE

1). Once we receive your order, we'll call you to verify order details, order total and ship date.
2). Orders are in U.S. dollars.

3). We accept the following credit cards:

*INDICATES REQUIRED INPUT FIELD

1). *Full Name:
2). *Company Name:
3). *Contact Phone Number: (extension if applicable):
4). *Email Address:
5). *Zip/Country Code:
6). *Product Model and Quantity:
7). *Ship To" Address:
8). Freight Collect Billing Account Number
(if applicable):
9). Purchase Order Number (if applicable):
10). *"Bill To" Address (state "same" if identical to #7):
11). *Shipment Method:
Ground
Second-day
Third-day
Overnight
Cheapest way
12). Additional Comments:

We Accept the Following Credit Cards:

CREDIT CARD VALIDATION INFORMATION

*Full Name (on Card):
*Credit Card Type:
*Card Number:
*Expiration Date: mm-yyyy
*Safety Code:
*Total Amount: $
NOTE: We will verify order and your order total
amount before charging your card.

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