 |
» |
|
|
|
If submitting order via fax: print and fill out entire form (including customer signature, name, and date below), and return to:
HP ValuPack Services order
(888)374-4737
|
|
Tax Exempt: Yes_____No_____
Tax Exempt Certificate #: ______________________
NOTE: All projects may be paid using MasterCard, VISA, American Express, or Discover. However,
ALL projects priced at $300 or less must be paid using a credit card.
CREDIT CARD INFORMATION:
Credit Card (select one):
Note: American Express Purchase Cards are not accepted.
_____ Master Card _____ VISA _____ American Express _____ Discover
Cardholder's name: _________________________________ Exp. Date: _______________
(please type or print) Credit Card Number: ______________________________
|
|
|
Service authorization and terms and conditions:
Services are subject to HP terms and conditions of sale and service.
Payment is due 30 days from HP's invoice date.
Customer's signature on this form constitutes authorization for HP to invoice customer for the above referenced services.
|
|
Authorized customer signature______________
|
|
Printed name______________ Date__________
|
|
Authorizing HP signature ___________________
|
|
Printed name ______________Date__________
|
|
Printable version
