Telephone Repairs

                            Fax Order Form
Print and fax this form to 719-687-6115

Date___________________

Company_________________________________________

Contact____________________________________

Phone_______________________

Fax___________________________

Shipping Adress____________________________________

City & State________________________________________  Zip_________

Billing Address____________________________________

City & State________________________________________  Zip__________
 
 
Quantity Part Number Price per Item Total by Item
__________ ___________________ __________ __________
__________ ___________________ __________ __________
__________ ___________________ __________ __________
__________ ___________________ __________ __________
__________ ___________________ __________ __________
__________ ___________________ __________ __________
__________ ___________________ __________ __________
__________ ___________________ __________ __________
__________ ___________________ __________ __________
__________ ___________________ __________ __________
__________ ___________________ __________ __________
Total ___________________ __________ __________
Shipping will be added

Shipping Preference:   Ground __ Air __ One-Day __ Two-Day __
Credit Card Info:
Card Type______________

Card Number____________________________

Expiration date______________

CCV Number (last 3 digits on the back of the card)________

Name on Card____________________________________

Address Card Statement is mailed to______________________________________

City & State_______________________  Zip_________________

Check here if you want us to fax you back a copy of your invoice ___  Fax Number _________________________

FAX Form to 719-687-6115
1 YEAR WARRANTY ON ALL EQUIPMENT

Prices subject to change, call for current inventory. Visa, Master Charge, American Express & COD welcome.
Orders placed by 4:00 P.M. will ship the same day.

800-530-8014    719-687-6082     (FAX) 719-687-6115
Monday - Friday 8am-5pm MST
Colorado Telephone Exchange
1213 Hofstead Terrace
Colorado Springs, CO 80907
Email sales@coloradotelephone.com

This is a ZStudios site.