Order Form: USA
-
No Risk 30-day guarantee!
If you are not completely
satisfied with the product, simply
- return it within 30 days for a full
refund, less shipping & handling. Sales in the USA only.
- Order online from our
Web Store
[Click here]
- Call 1 800 274 2165 or (502) 214 4477
to place your order
- Fax this form to CardReader, Inc. at (502)
266-5280
- Mail this form to CardReader, Inc/Sales, 1411
Ramon Drive, Sunnyvale, CA 94087, USA
|
|
Product Code |
Description |
Quantity |
Unit Price |
Total |
| 1 |
BCRM1 |
BCR901 scanner+software (1
user) |
|
$209 |
|
| 2 |
BCRDX1 |
DuplexScan
1200 scanner+software
(1 user) |
|
$299 |
|
| 3 |
BCRDX3 |
DuplexScan
1200 scanner+software (3
users ) |
|
$399 |
|
|
4 |
BCRU1 |
Additional BCR software
(1 user) |
|
$79 |
|
| 5 |
BCRU3 |
Additional BCR software
(3 users) |
|
$165 |
|
| 6 |
BCRU5 |
Additional BCR software
(5 users) |
|
$205 |
|
| |
|
|
|
|
|
| California residents add
9.25%
sales tax |
|
| USA
Shipping/Handling (3 Day=$14, 2 Day=$21, Next Day=$38, each item) |
|
| CANADA Shipments (3
Day=$45, each item) |
|
| Total Payment |
|
- Payment Method - PLEASE PRINT CLEARLY ALL
INFORMATION BELOW
-
- __ Check enclosed (must be on US bank) ____AMEX __VISA
__MasterCard
Card Number:
____________________________________ Exp. Date:__________________
Name on Card:
___________________________________ Signature: __________________
Card Billing Address:
__________________________________________________________
City/State/Zip/Country:_________________________________________________________
Phone:____________________
Fax:__________________ Email: _____________________
Ship to (Name)
_______________________________________________________________
Company:
___________________________________________________________________
Address:
____________________________________________________________________
City/State/Zip:________________________________________________________________
Country:
____________________________________________________________________