Place Your Order

Place Your Order

To place your order please utilize the form below or you may call it in by dialing 512.237.0685. You can order up to five items at a time.

We need:
* an exact item description
* WE MUST HAVE part numbers (if you can't get it we will get it for you but the discount will be 15 % instead of 20 %)
* choose the supplier in the drop down boxes
* enter the full price of each item.

At the bottom of the form
* enter the full price total in the designated field
* enter the amount of the 20% discount
* enter the total minus 20% in the Subtotal Field
* enter in Shipping and handling amt - (For orders of $200 or more, shipping and handling is FREE)
* Enter in TOTAL amount in Total Field

Please enter any special instructions in the Comments field.

Add Shipping Handling - S&H is determined by the total price of your purchase.

If the Total Purchase price is $0-$49.99 ............then add
If the Total Purchase price is $50-$99.99...........then add
If the Total Purchase price is $100-$149.99......then add
If the Total Purchase price is $150-$199.99......then add
If the Total Purchase price is $200+ ...................THEN ... S&H is

$6.99
$8.99
$13.99
$19.99
FREE

Full Name:

Shipping Address:

Shipping to City/State:

Shipping Zip Code:

Phone #:

Email Address:

1. Item Description:

1a.Part #:

1b.Full Price of Part:

1c. Supplier

2. Item Description:

2a. Part #:

2b. Full Price of Part:

2c. Supplier:

3. Item Description:

3a. Part #:

3b. Full Price of Part:

3c. Supplier:

4. Item Description:

4a. Part #:

4b. Full Price of Part:

4c. Supplier:

5. Item Description:

5a. Part #:

5b. Full Price of Part:

5c. Supplier:

Sub total:

20% discount (-20%):

Sub Total w/discount:

Tax Amount (8.25%)

Shipping Amount:

Total Amount Due:

Powered By ChronoForms - ChronoEngine.com