Sandown
Wireless Radian/ROHN Order Form
P.O.
Box 564, East Hampstead, NH 03826
FAX
To: 603-887-2117, Questions: Toll Free: 866-379-8437, Tel: 603-548-0125
Please Print Clearly, All Required Information
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: _______________________________________________________________
Exp. Date: __________________ 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 O.E.M Radian/ROHN Part Numbers. Call for Parts ID Help.
Please Call Keith Clark in Sales to get your Freight Quotation. Tel: 603-548-0125, Fax 603-887-2117
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: $____________________ Shipping Charges:
$___________________
Order Total: __________________
U.S. Dollars
Shipping:
Some items are UPS shippable but most require that a Trucking quotation be given. Please Contact Sales (603-548-0125, Fax: 603-887-2117) for a quotation to ship your order directly to your site. There is no minimum order size at Sandown Wireless and we can arrange shipping worldwide.
Mail or Fax This Form To:
Sandown Wireless, P.O. Box 564, East Hampstead, NH 03826
Or Fax To: 603-887-2117
To Contact Sales, Call: 603-974-0725 (Ask for Keith Clark)
E-mail: Sales
Personal Information will not be given to anyone else for any reason. If you feel more comfortable
Calling in this order directly to Sandown Wireless Sales, please do so. Every effort is made to protect
The privacy of our customers. That is why we ask that you mail or Fax us this information. Never
give Credit Card information to unsecured Internet servers. If you do choose to e-mail this form to us,
please send your credit card information separate in two or more e-mails. This will help keep the
bandits at bay! Tower Parts Order are Prepaid so your Credit Card will note a charge when
you place your order. Call: 603-548-0125 or Fax: 603-887-2117.
We will be happy to quote your requirements.
Special pricing is available from all our suppliers for Large Orders.