Order Form

Accepted Here

Fill in, print then fax this order page to (856) 489-9228 or call (856) 596-4196 for customer service assistance.

Please provide the following contact information:

First name
Last name
Job Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
FAX
E-mail
URL
QTY.	ITEM $	TOTAL $

	Sub-Total
	Shipping & Handling (see chart below)
	Order Total (check payment option below)

Please be sure to include handling fees listed below and appropriate sales tax. New Jersey state residents will be charged 6% sales tax.

Handling Fees:
Please note: Any orders requesting express delivery must double the handling fees listed below. Rates are based on delivery within the United States. Shipping to foreign countries must be quoted individually as rates vary.

First 360 Smart Kit				$5.00
Each additional 360 Smart Kit				$3.00

	Credit Card Billing Address (if different from above)
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country

Credit Card Payment Information:

Name on card:
Credit Card:	MasterCard Visa American Express
Credit Card #:
Expiration Date (MM/YY):

Thank you for your order.

Order Form

Copyright 1999 Team Builders Plus, Cherry Hill, NJ. 856-596-4196 Last revised: November 3, 1999

Copyright 1999 Team Builders Plus, Cherry Hill, NJ.
856-596-4196
Last revised: November 3, 1999