Ingram Technologies Mail In Order Form
Print this form, fill it out completely, then MAIL to:
Ingram Technologies
4342 So. Finair Dr
West Valley City
Utah 84120
(801)966-7735 Fax:(801)966-8845
--------- SHIPPING NAME AND ADDRESS ----------------------------------------------------
Name___________________________________________
Address________________________________________
City/State/Zip_________________________________
Country_________ Day Phone ____________________
E-Mail Address__________________________________________________
------------------------------------------- ORDER --------------------------------------
QTY ITEM CODE DESCRIPTION PRICE
____ ____________ ______________________________________________________ __________
____ ____________ ______________________________________________________ __________
____ ____________ ______________________________________________________ __________
____ ____________ ______________________________________________________ __________
____ ____________ ______________________________________________________ __________
Discount _____________
Subtotal _____________
Shipping** + _____________
Sales Tax* + _____________
Total _____________
**Shipping Charges:
All products are F.O.B Salt Lake City, Utah
Free shipping and 2% discount on prepaid orders in the continental US only.
Charges for shipping outside the US will be billed at the actual shipping
and insurance rate.
*Items shipped to a Utah address require 6.25% sales tax.
(price x .0625 = total price)