branded computers, for overseas shipment are
available only to Pre-Approved Customers.
In order to provide the quickest
delivery time and insure legal and authorized transactions to any
overseas person or business the following information must be submitted
for customer authorization BEFORE any purchase can be transacted.
Billing Name
Title
Company
Billing Address
E-mail
Phone
SHIPPING INFORMATION
Contact Name
Title
Company
Shipping Address
E-mail
Phone
CREDIT
INFORMATION
Provide at
least 3 Credit References with
Company
Names, Addresses, Account #'s, Contact Name & Phone Numbers:
Provide your Banks Name, Address, Acct.# and Credit Card information.
Banking Institution:
Credit Card #:
Type of Card:
Expiration Date:
Name on Credit Card:
Billing Address:
Billing Phone #:
DECLARED PURPOSE OF EQUIPMENT USE
Please provide information about how you will be utilizing equipment
purchased, where it will be located, who will be using the equipment and
what it will be used for: (resale, re-export, office, personal, etc.)
STATEMENT OF AFFIRMATION
(Checking this box affirms your approval and declaration of true
statements.)
I agree I have been honest in answering all the questions above and have
not provided any information which is not true. I agree that all
references may be contacted and information verified before being
allowed to purchase and receive equipment from this company. I
state that this equipment will be used in a legal manner and I have not
misrepresented any statements about the end use of any equipment I will
receive.
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