Sandown
Wireless ROHN Products Order Form
19 Phillipswood Road, Sandown NH 03873
Questions? Leave us your contact info: 603-425-9876 or (Recommended) E-mail Us
Adobe Version Please Print Clearly, All Required Information Word Version
Sold To: (credit
Card Billing Address) Ship
To: (Final
Destination)
Name: ________________________________________ Name: ________________________________________
Address: _______________________________________ Address: _______________________________________
City: __________________State: ____ Zip:___________ City: ___________________State: ____Zip:__________
Telephone: __________________________ Fax: _______________________ e-mail: ________________________
Check Enclosed ____ Money Order Enclosed ____ Credit Card Order ____
Purchase Order Number: (______________) Master Card: ___ Visa: ___ Discover: ___
Card Number: _______________________________________________________________
(Note: We can contact you in the evening for CC info if you do not want to list that info on this form)
Exp. Date: _________Sec. Code:_________ Name On Card: ___________________________
Signature (Required if using
Credit Card) ________________________________________
Returns: Full Refund Offered for 30 days if not satisfied with Supplied Products. Items must be
Returned as new, unused parts. We will make every effort to supply the correct parts for your use.
*Please Supply Exact ROHN Products LLC Part Numbers. Contact by E-mail for Parts ID Help.
Please Contact Sales to get your Freight Quotation. (Sales)
Qty-----*Part Number-----------------Description------------------------------Price Each----Item Total
____ ______________ ___________________________________ _________ ___________
____ ______________ ___________________________________ _________ ___________
____
______________ ___________________________________ _________
___________
Qty-----*Part Number-----------------Description------------------------------Price Each----Item Total
____ ______________
___________________________________ _________ ___________
____ ______________ ___________________________________ _________ ___________
____ ______________ ___________________________________ _________ ___________
(Use a separate Sheet if you have a long list of parts required)
Sub
Total Material Cost: $________________ Quoted Shipping Charges:
$_________________
Order Total: __________________
U.S. Dollars
Shipping Information:
Some items are UPS shippable but most require that a Trucking quotation be given. Please Contact Sales
for a shipping quotation to your site. There is no minimum order size and we can arrange shipping worldwide.
There is no on-line ordering as experience has shown us that we need to supply you with all documents and
a full quotation before you order. This avoids having to return very expensive to ship steel.
E-Mail, or Mail This Form To: (Sales)
Sandown Wireless, 19 Phillipswood Road, Sandown NH 03873
To Contact Sales, Call our office at: 603-425-9876, leave a message. We will respond ASAP.
Our Preferred Contact Method is E-mail: (Sales)
Personal Information will not be given to anyone else for any reason. Every effort is made to protect
The privacy of our customers. That is why we ask that you mail or E-mail this information. Never
give Credit Card information to unsecured Internet servers. Tower Parts Order are Prepaid so your
Credit Card will note a charge when you place your order. If you would like us to contact you for CC info over
the phone, just make a note on the form where it asks for the CC info.
Micro Thank You For Considering Us - Sandown Wireless - USA