How to Contact Automation Consulting and Supply, Inc. By FAX

FAX

Our FAX number is: +1-740-374-9969 Please call us first.

(You may print out this form by clicking
on the printer symbol in your browser.)

Send us a FAX which includes the following.

Your name and email address:_____________________________________
Company (if applicable):_________________________________________
Voice telephone number:__________________________________________
Fax number (if applicable):______________________________________
Shipping address:________________________________________________
_________________________________________________________________
_________________________________________________________________
City:_______________________ State:_________Postal Code:_________
Country:____________________________

Best time for us to contact you:___________ to _______________

List of WJxxx ink numbers you need or your specific printer model:

Black: WJ-____ Cyan: WJ-____
Magenta: WJ-____ Yellow: WJ-____
Other:_________________

Printer Manufacturer:___________________
Printer or Cartridge Model Number:______

Quantity of ink you need:
_______
Price for the ink:
$_______
All prices are in United States Dollars.
Empty Syringe Bottle pricing is:

$7.50 for one.
$15.00 for a set of four.
Number of syringe bottles you need:
______
Amount:
$_______
Additional Accessories Needed (Specify):

Amount:
$_______
Shipping and Handling
Most of USA:
Check the number of pints in your order to determine the shipping charge.

Weight Number of pints Standard Shipping Charge We will ship by
under 1 lb (450 grams) none $4.95 Mail
1-2 lb 1 $5.95 Priority Mail
2-3 lb 2-3 $7.95 Ground
3-10 lb 4-7 $8.95 Ground
10-15 lb 8-12 $9.95 Ground
15+ lbs 13+ Call for info Ground

USA Outlying Regions: For shipping to AK, HI, PR, VI, MP, GU, APO/FPO use this chart.

Weight Number of pints Standard Shipping Charge We will ship by
under 1 lb (450 grams) none $4.95 Mail
1-2 lb 1 $5.95 Priority Mail
2-3 lb 2-3 $8.95 Priority Mail
3-10 lb 4-8 $12.95 Priority Mail
11+ lbs 9+ Call for info Priority Mail
Canada:

1 pint US$7.50
2 pints US$10.00
3 pints US$15.00
4 pints US$17.95
5 or more pints Call for info

Amount:
$_______

$18.00 for USA S/H by 2nd day.
$35.00 for USA S/H by Overnight.
If you live outside the USA, we will quote you freight costs. We ship worldwide.

COD
Domestic USA only - COD orders are also accepted. There is a $7.50 COD Fee. COD orders must be paid by cashiers check, certified check, or money order -- no personal or business checks accepted.
For COD,
Check Here:
___
If COD, add to your order total:
$7.50
Comments
Enter any comments here:
Amount:
$_______
Check your total. Your order total is: $_______
Circle One:

Check or Moneyorder Enclosed: $_______
Bill My American Express
Bill My VISA
Bill My Mastercard(Eurocard)
Bill My Discover

Security Code:
Enter the 3 or 4 digit code from the card.
__ __ __ __

Card number
(9999 9999 9999 9999):
_____ _____ _____ _____ Expiration Date
(11/99): ___/___ Exact Name on the card
(John E Smith):
______________
Billing address for your card if different from shipping address:
______________________________________
______________________________________
______________________________________
______________________________________
IMPORTANT!
Please sign here for credit card orders
___________________________________
If you need refill instructions, just ask: _____ or check our on-line instructions.

FAX NUMBER: +1-740-374-9969

http://www.oddparts.com/ink/fax.htm