ExhibitsDirect ORDER FORM

• Please provide the following contact information:

  Name
  Title
  Company
  Address
  Address
  City, State, Zip
  Work Phone
  Fax
  Email Address

•  
• Please provide the following ordering information:

  QTY	DESCRIPTION (Include model name, color, size and exhibits options, as appropriate)	Price Each	Total
  	For orders shipped within California, add 7.75% sale tax
  	Shipping and handling charges will be added to your order. If you prefer to use your own delivery service, please enter your account number in the  information box below.  Normally, we ship our orders via UPS Ground.	ORDER TOTAL

                  

  	BILLING
  Credit Card	VISA MasterCard Discover       PRIVACY POLICY This is a Secure Web Site.  However, if you prefer you may supply this information by telephone or fax after your order is confirmed.
  Cardholder Name
  Card Number
  Expiration Date

  

  If paying by check or money order, please indicate this in the 
  "Additional Information" box at the bottom of this page.

  	SHIPPING (if different from contact information)
  Street Address
  Address (cont.)
  City
  State/Province
  Zip/Postal Code
  Country

If you experience problems with this form, we would appreciate your calling us with your order at 800 233-2730
or printing it out and faxing it to 888 892-7573.  Thanks!