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Order Form
You can purchase ACTiSYS products in several ways:
-Call us directly:
1-510-490-8024
-Fax in your order at 1-510-623-7268
Online purchasing below:
Models You Want to Buy
ACTiSYS Model#
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:
Quantity
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*If order ACT-IRxxxE, please enter ACT adapter as a separate entry with the dollar zero and specify country type
ACTiSYS Model#:
Quantity:
ACTiSYS Model#:
Quantity:
ACTiSYS Model#:
Quantity:
ACTiSYS Model#:
Quantity:
Add Another Product
Product Sub Total US$
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California Sales Tax (9.25%) for California residents only: US$:
Product Total US$
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Contact / Billing Info
First Name
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Last Name
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Email
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I have filled out the Price Inquiry form before.
Company Name
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Billing Address
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City
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State/Province
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Zip Code/Postal Code
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Country
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Phone
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(include country code):
Fax(include country code):
Shipping address same as billing address
Yes
No
Shipping Address
First Name
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Last Name
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Company Name
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Shipping Address
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City
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State/Province
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Zip Code/Postal Code
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Country
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Phone(include country code)
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Shipping Info
*Please fill in shipping charges as quoted by ACTiSYS sales representative. (call
510-490-8024
, or email
sales@actisys.com
for price)
*If needed, please contact an ACTiSYS sales representative for details.
Location
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:
-select-
US Domestic Shipping
International Shipping
US
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:
UPS Ground Tracking
UPS 3 Days
UPS 2nd Day Air
UPS Next Day Air
FEDEX Overnight AM
FEDEX Overnight PM
FEDEX 2nd Day
FEDEX 3rd Day
DHL
International 4-7 Day Delivery
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UPS Expedited
FEDEX Economy
DHL
Delivery Fee US$
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Payment Information
Payment Method
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-select-
Credit Card
Wire Transfer
PayPal
Credit Card
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-select-
Visa
Master Card
American Express
Credit Card Number
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Card Holder Name
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Expiration Date
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Security Code
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Wire Transfer:
(Please use the bank fee quoted by ACTiSYS sales representative)
Bank fee
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*if using wire transfer, additional bank fee is charged
PayPal:
(Our PayPal ID is: kc@actisys.com)
ID
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Paypal Fee
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(Please use the PayPal fee quoted by ACTiSYS sales representative)
Total Cost:
*For international customers only: Any additional custom duties, import taxes are the customer's responsibility.
*if customer return products within 30days for refund,
deduct 2-way shipping, tax and 20% restocking charge
.
*ACTiSYS products carry a one-year warranty (except IrDA testers).
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Compatibility
If you do not know the compatibility, you may submit directly. However, we would appreciate if you fill in the information below, so that
1)
we can support your technical questions more efficiently.
2)
If there is a new product or any product change, we can notify you early.
Your application (target device) that ACTiSYS IR adapter will send/receive data to/from?
Brand:
Type:
Model#:
Operating System running on your device & its Version#:
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