Douglas Electronics   Home Cad Software Professional System Upgrades Hardware PC/104 Breadboards BB Accessories Robotics Disk Duplicator Card Racks Services PCB Manufacturing Photoplotting File Translation Sheet Metal Request Literature Ordering Software& Support Custom PCB's Stock PCB's Stock Hardware Sheet Metal Tech Support Douglas History Contact Information

Stock Hardware Order Form Contact Information:   * =Required Field   * Name:   * Company   * Address     Address   * City, State, Zip     Country   * Email     Telephone     Fax                 Shipping Information: (if different)           Name:     Company     Address     Address     City, State, Zip     Country           Billing Information (if different)           Name:     Company     Address     Address     City, State, Zip     Country         Payment Terms      Method PO# or credit card number     -Select One- Terms Established COD (USA Only) VISA Mastercard AMEX Ex. Date (mm/yy)     California Taxable       Outside of California       Resale-California     Government             Shipping Information:           * Shipping Method -Select One- FedEx Ground FedEx 2nd Day FedEx Next Day FedEx Next Day AM UPS Ground UPS 3 Day Select UPS 2nd Day UPS Next Day DHL     Bill shipping to Add shipping cost to my order       Use my shippers account number below:         Product User Information             Name     Email         Hardware Items     Qty Item (by name or Part Number)   1   2   3   4   5   6   7   8   9   10     Note: For additional items, submit additional forms, enter your name and specify "Continued" on additional forms.         Comments/Special Instructions

Douglas Electronics, Inc.
2777 Alvarado Street
San Leandro, CA 94577
USA

Voice: +1 510 483-8770
Fax: +1 510 483-6453
info@douglas.com
http://www.douglas.com