Please print a copy of this form.  Fill it out completely & Mail it to:

Affordable Computer Supply Marketplace

P O Box 509

FT Ogden, FL 34267-0509

Make checks payable to ACSM

Orders will not be shipped until checks have cleared our bank.

 

Email Address:
Name:
Company Name:
Address1:
Address2:
City, State, Zip Code:
Phone #

Quantity	Item #	Description	Price	Ext. Price
		* Orders of $35.00 or less please add $7.00 for shipping.	Subtotal
			7.00% Sales Tax for FL residents
			Shipping
			Total Due

Payment Information:   Payment Type: Visa,  MasterCard, Discover,  American Express, Check or Money order. (circle one) Card holders Name as it appears on card:________________________________ Card Number:____________________________ Expiration Date:___________ Signature:_________________________________________________________ Make Checks payable to: ACSM Mail this completed form to Affordable Computer Supply Marketplace P O Box 509 FT Ogden FL 34267-0509 Thank You!

Please allow FIVE TO TEN days for delivery. ORDERS WILL NOT BE TRACKED BEFORE 7 DAYS FROM INVOICE DATE.