ORDER FORM

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SHOP ITW

ORDER FORM

After your ORDER FORM is recieved an invoice would be sent to you via email confirming your order, it also includes item cost + shipping and handling cost(s) and any other information neccessery to help process your order as quick as possible.

First name:
Last name:
Email address:
Company:
Address 1:
Address 2:
City:
State:
Zip code:
Phone:
Fax :
ITEM CODE & ID#:
Quantity :
Payment Method

If there is any problems with this form please email me at shopiwinc@lycos.com. Thanks for your business.

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ITW Electronics.com * 2038 Eastchester Rd. * Bronx * New York * 10461