GALAXYhp | ORDER Form

Order Form

NOTE: If you move to another page before clicking the "Place Order" button all entered data will be lost..

Fill out the form below and submit it by clicking on the "Place Order" button.

We will send you an email within 24 hours confirming that your order has been received.

ENTER Ship To and Bill To Address Information:

Name*

Company Name

Shipping Address*

Billing Address (if different*)

Daytime Phone No*

Email Address*

Affiliation:

* required information

ENTER Order content information:

The following information is required for each item being ordered:
• Its Part No or Item Description.
• The quantity you wish to order
• Where applicable, indicate if the part is being ordered on an advanced exchange basis.

ENTER Payment Details:

IF paying by credit card, enter credit card information:

Name on Card

Card Number

Exp. Date (mm/yy)

Security Code*

* The last three numbers printed
on the card's signature line.

IF paying by PayPal:
• Complete and submit the ORDER FORM.
• You will receive an email with instructions for submitting funds to our PayPal account.

CHOOSE Shipping Method:

Shipping charges are calculated on order content and method of shipment and will be emailed to you along with your order confirmation. If you have an account with UPS or FedEx and wish us to use it to ship your order, include the account number in the ORDER CONTENT text box.

CHOOSE to Receive our twice monthly email Newsletter of Mac promotions and product updates?

Click on the button to

NOTES

if you prefer
to order by phone
please call

1. 888.345.1817

Zero Sales Tax

There is no sales tax in the state of Oregon.

OPTIONS

we accept payment from

School PO's are
WELCOME!

please fax a copy of your school/university PO to
541-345-3094

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