ORDERFORM

1-888-FUSERS-1

1-888-387-3771

Pick-up a PocketMOD

HP & Lexmark Message
Clearing Instructions With
Formatter Pin Codes
That Fits in Your Pocket

Printer Repair Training...

Classes begin Aug 11th 2008

Order Form

Use the online order form below or Printable Order Form

Billing Information

New Account?

Include your companies D & B No.

or Call 1-908-245-2100 Ext.0 to open an account
Or complete this New Customer Welcome Kit .pdf

Purchase Order Number

Account Number

First Name:

Last Name:

Title:

Company:

Country:

Address 1:

Address 2:

City:

State

Zip

Phone:

Fax:

Email Address:

Payment Method

Shipping Information

Same as Billing Address Blind Drop Ship

Acct #

Attention:

Company:

Country:

Address 1:

Address 2:

City:

State

Zip

Shipping Method

Your Shipping Carrier Account #

Visit the Hewlett-Packard website