Order Form

© 2008 Archive Index Systems, Inc.
PO Box 40135
Bellevue, WA 98015
1-888-644-6449 eFax: 240-384-7297 ; E-mail address: Sales@archiveindex.com
Business Hours: 8:00 am to 6:00 pm Mon to Sat. Pacific Standard Time

PLEASE SEE OUR PRICING AND PURCHASING TERMS PAGE.

*Please note, we do not accept credit cards outside the U.S.

PLEASE SPECIFY IF YOU WANT A NEW OR REFURBISHED MODEL

Order Form © 2008 Archive Index Systems, Inc. PO Box 40135 Bellevue, WA 98015 1-888-644-6449 eFax: 240-384-7297 ; E-mail address: Sales@archiveindex.com Business Hours: 8:00 am to 6:00 pm Mon to Sat. Pacific Standard Time PLEASE SEE OUR PRICING AND PURCHASING TERMS PAGE. Please note, we do not accept credit cards outside the U.S. PLEASE SPECIFY IF YOU WANT A NEW OR REFURBISHED MODEL*
	*Email:
	*Name:
	Company:
	*Address:
	*City:
	*State/ Province:
	*Zip/ Postal Code:
	*Country:
	Phone:
	Fax:
	*Method of Payment:	Visa Master Card American Express Wire Transfer
	Credit Card Number:
	Expiration Date:

	*Product Name:	Quantity:
	Product Name:	Quantity:
	Product Name:	Quantity:
	Product Name:	Quantity:
	Questions/ Comments New/ Refurbished?: