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  1. All foreign located companies and individuals (excluding US Government facilities) must call or e-mail (include telephone number where you can be reached).
  2. All fields on this form marked * must be completed.
  3. Confirmation of orders and notification of any items on backorder will be done via e-mail. Most orders will be shipped within 24 hours. The receipt of an e-mail confirmation does not constitute the acceptance of an order nor a confirmation of an offer to sell.
  4. $50.00 minimum on all orders. All orders placed over $5,000.00 must obtain pre-approval with an acceptable method of payment, as established by our Credit Department.
  5. Marshall Electronics and its affiliates are not responsible for any incidents that may occur as a result of using our online ordering system. Marshall Electronics will use the credit card information only for the intended purchase and the shipping costs.
Orders will appear on credit card statement as Marshall Electronics. Marshall Electronics will charge exact shipping and tax (where applicable). All shipments are made "best way" unless specified by the customer. COD is not available for online orders.
Ordered By:    
First Name *   Last Name *
Company     Type of business  
Address 1 *   Address 2  
City/Town *   State or Province  
Zip/Postal Code   *   Country *
Phone Number *   Fax Number  
E-mail Address *   Shipping Method  
Shipping address (if different from above address):    
First Name *   Last Name *
Company     Type of business  
Address 1   *   Address 2  
City or Town *   State or Province  
Zip/Postal Code *   Country *
Items you wish to order:    
1. Part Number     Quantity  
2. Part Number     Quantity  
3. Part Number       Quantity  
4. Part Number     Quantity  
5. Part Number     Quantity  
6. Part Number     Quantity  

Method of Payment:  
Credit Card Number  
Expiration Date  
Name as it appears on the credit card  
Cardholder Phone Number *

Credit card billing address:    
First Name *   Last Name *
Company          
Address 1 *   Address 2  
City/Town *   State or Province  
Zip/Postal Code   *   Country *



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