Order By Mail: Print out this order form, and send it along with US FUNDS check or Money Order, or credit card information to:
Vortech, Inc.
PO Box 511-W
Fallston, MD 21047
Order By Fax: Print out this order form, and fax it along with credit card information:
410-668-8518
Order By Phone (24 hours a day): Have your credit card handy, and call:
410-663-8022
Your e-mail address: ________________________________________________
Your Name: ______________________________________________________
Address:_________________________________________________________
City: ____________________________________________________________
State / Province: ______________ Zip / Postal Code: ______________________
Country (if not USA) _______________________________________________
Phone: _______________________________ Fax:____________________________
Please send me (prices include postage):
___ CW-105F Pland @ $275 U.S., $298 foreign: $______________
SUB-TOTAL $_____________
SALES TAX (Maryland residents only, add 6%)_____________
TOTAL $ _____________
CARD TYPE (check one) ___VISA ___MASTERCARD ___AMEX ___DISCOVER
CARD NUMBER: _____________________________________________________
EXPIRATION DATE: (in the form mm/yyyy; such as, 08/2020): _______________________
NAME APPEARING ON CARD: _________________________________________
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