CFS Order Form

248 Addie Roy Rd. Ste.B102
Austin, TX 78746
Please Fax This To: 512.327.1935
Customer Info

(Please note: we can only ship to your Billing Address)
Name____________________________________________________________

Company_________________________________________________________

Address__________________________________________________________

City____________________________ State_______________ ZIP__________

Phone_(______)___________________ Fax_(______)____________________
Billing
Info
Circle One: VISA MC

Name on Card______________________________________________________

Card Number_______________________________ Exp. Date_______________

Issuing Bank________________________Phone_(______)__________________
QTY ITEM # DESCRIPTION UNIT PRICE TOTAL
         
         
         
         
Sub-Total:  
Shipping Cost:  
Texas Residents Add 8% Tax:  
Total:  
Internal Use: Processed by:_________________ Date/Time:_____________________
Approved by:_________________ Date/Time:_____________________
Packaged by:_________________ Date/Time:_____________________
Shipped by:_________________ Date/Time:_____________________
Shipping Method:    
UPS Ground FedEx
Next Day Std 		FedEx
Next Day Priority
Comments:___________________________________________________________