SBC Data Power Order Form

1760 Monrovia Avenue, Suite C8, Costa Mesa, Ca.  92627 USA
FAX Orders To: 949 258-5288, Office Call: 949 646-8191
Email Correspondence to: cthompson@sbcdatapower.com

To place your order, fill out this form and fax it to our corporate office or save it to your hard drive and email as an
attachment to SBC Data Power at cthompson@sbcdatapower.com or send via US Postal Service.

Please Print or Type Clearly, All Information Required

Sold To: (Credit Card Billing Address)                                Ship To: (Final Destination)

Company Name:_________________________________       Company Name:_______________________________

Company Contact:_______________________________       Site Contact:___________________________________

Address:________________________________________      Address:______________________________________

    ________________________________________                   ______________________________________

City:___________________ State:______Zip:_________      City:___________________ State:______Zip:_________

Telephone: __________________________ Fax: _____
__________________ e-mail: _________________________

Purchase Order Number (for receiving purposes): ______________  
Note: SBC Data Power does not ship to PO boxes.

Payment Method:

Credit Card Order ____Check Enclosed  ____    Money Order Enclosed ____     

Master Card: ___  Visa: ___  Discover: ___  American  Express:___

Card Number: _______________________________________________________________

Exp. Date: __________________ Name On Card: __________________________________

Signature (Required if using Credit Card) ________________________________________

Qty          Part Number                Description                                             Price Each        Item Total

_____  ______________  ___________________________________  _________  ___________

_____  ______________  ___________________________________  _________  ___________

_____  ______________  ___________________________________  _________  ___________

_____  ______________  ___________________________________  _________  ___________        

_____  ______________  ___________________________________  _________  ___________

                                                             Sub Total Order Cost Before Shipping: $ ____________

Shipping:
All orders are F.O.B. Factory, Costa Mesa, California.  The cost of shipping is determined by SBC Data Power
after receiving order.  Shipping cost on all orders is a prepay and add.

All orders to be shipped via Fed Ex Ground service, UPS surface or LTL carrier, unless requested otherwise.   

To determine shipping costs in advance of order, email us the order and we will inform you of the exact shipping cost.  Email to
cthompson@scottbatteries.com

Corporate Accounts: Please include a company purchase order along with your Scott Batteries Order Form.  Corporate
accounts are provided open account status, only after review by the SBC Data Power Credit Department.

Federal, State, County Government and Education Orders: Please include a purchase order along with your SBC Data
Power Order Form.  Government and Educational accounts are provided open account status, only after review by the SBC
Data Power Credit Department.

Dealers and Volume Customers: Please call for special pricing and shipping arraignments.

Sales Tax: Sales tax will be added to all order generated by companies in the state of California, unless a California State Resale
Certificate is provided.

To pay by check or money order: Make check payable to Scott Batteries.

International Sales and Payment Method:
Outside the U.S., pay via postal money order, cable or credit card.  If payment if
made via money order, make check in US$ payable to SBC Data Power
.  

If by cable, email us for routing and account number specifics, then fax your order indicating the amount wired, date, and other
relevant information to 001 949 646 8191.

For shipments outside the U.S., we ship via FedEx or United Parcel Service.

SBC Data Power Private Information Policy Statement: Corporate or personal information is never provided to any person
outside our organization.  If you feel uncomfortable sending specific information via fax or over the internet, please call Scott
Batteries directly.

Every effort is made to protect the privacy and security of our customers.