Computer Station Corporation Product Ordering Form

  If you would like to order products from Computer Station Corporation, please fill out the following form and click "Submit" at the bottom of the page. If you prefer, you may also print this form, fill it out and fax it to 713-777-3431. If you are a first-time buyer and a company, please fill out and submit the COMPANY CREDIT APPLICATION, unless you will be paying by cash or cashier check.

Account Number:

(NOTE: First-time company buyers must fill out the COMPANY CREDIT APPLICATION in order to have an account number.)

Order Date:

BILL TO ADDRESS:

Name:
Company Name:
Address:
City: State: Zip Code:
Phone: Fax:
E-Mail:

SHIP TO ADDRESS: (IF DIFFERENT)

Name:
Company Name:
Address:
City: State: Zip Code:
Phone: E-Mail:

PAYMENT:
P.O.#: COD Cashier Check: COD Cash:
I hereby authorize CSC to charge my credit card:

(If you are paying by credit card, Computer Station Corporation is committed to ensuring your safety and preventing credit card theft. Please print out the CREDIT CARD AUTHORIZATION FORM, enter your information and fax it to our offices at 713-777-3431.)

Visa MasterCard American Express

SHIP VIA:
UPS Ground Overnight 2nd Day FedEx FedEx Overnight

ITEM #PRODUCT DESCRIPTIONQUANTITY

Stay Tuned. Products coming soon.

Price: Extended Price:

Copyright © 1997 Computer Station Corporation. All Rights Reserved.