Hitek Hardware, Inc. - US & and FAX Order Form

PLEASE PRINT
(best printed in landscape)

ORDER BY FAX OR US MAIL

To place an order, just complete the following information and fax or mail to:
Hitek Hardware, Inc.
849 Old Greenwich Plains Road
Ware, MA 01082
FAX: 1.413.967.0155 (24 hours a day, 7 days a week)

If you are interested in purchasing any of our products via the phone, call 413.967.0177 to place your order. Please have your information ready. We are available to take your calls Monday-Friday, 8:00 am - 6:30 pm.

Please do not forget to read our terms & conditions before ordering.

ORDER FORM FOR FAX OR US MAIL

SHIPPING ADDRESS:
Company Name:					___________________________________________
Name:					___________________________________________
Address:					___________________________________________
City, State:					___________________________________________
Zip/Postal Code:					___________________________________________
Daytime Telephone #:					___________________________________________
FAX # (if you have one):					___________________________________________
EMAIL Address:					___________________________________________
Account Number:					___________________________________________
Purchase Order Number:					___________________________________________

ORDER INFORMATION

PART #	DESCRIPTION	QUANTITY	UNIT PRICE	TOTAL PRICE










		Subtotal
		add Sales Tax
	(see terms & conditions for rates) Shipping
		TOTAL

PAYMENT INFORMATION

For customers with established credit, our terms are NET 29 days after receipt of material. 45 days after delivery, we may apply a 1-1/2% per month carrying charge on the unpaid balance of customer's order.
Customers must apply for credit by submitting bank references and three appropriate vendor references. These may be forwarded by FAX (413-967-0155) or email ( mltobias@hitekhardware.com )
Hitek does not accept credit cards.
Hitek does not ship COD
MASSACHUSETTS CUSTOMERS must pay 5.0% sales tax unless a properly executed Massachusetts Tax Exemption Certificate is in our possession.

If credit is not yet approved, please check appropriate enclosed payment:

____ Check ____ Money Order

Signature _______________________________________ Date __________________