Order Form for Startech Outlet

QUANTITY	MODEL #	PRODUCT DESCRIPTION	PRICE EACH	TOTAL
Name _________________________________________________________ Address _________________________________________________________ City _________________________ State ______________ Zip _______________ Method of Payment: (Make checks payable to: StarTech Outlet and allow 10 days for personal checks to clear.) Check one: □Money Order □Check □ MasterCard □ Visa □ American Express □Discover If you are paying by credit card, we need your credit card billing address: Credit Card # _________________________________ Exp. Date ___________ Signature ________________________________________________________ Billing Address (if different from above) Address _________________________________________________________ City _______________________State _____________________ Zip _________ To order, please mail your order, fax it or email it to info@startechoutlet.com. This helps us not make mistakes. You may phone in your order if you don’t have fax or email.			SUBTOTAL
			For Texas orders, please add 8.25% sales tax.
			TOTAL
			StarTech Outlet Inc. 2541 S.IH-35#200-118 Round Rock TX 78664 (877) 513-7076 Fax (512) 233-2857 www.startechoutlet.com It is the responsibility of the buyer and not StarTech Outlet to ascertain and obey all applicable laws in regard to the possession and use of our products. Absolutely no sales to minors. By placing an order, the buyer represents that all products purchased will be used in a lawful manner and that he/she is of legal age.

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