On-Line Order

Thank you for considering A.I.S. for your purchase requirements.  If you would like to place an on-line order please supply the information below.  Do Not Supply A Credit Card Number at this time.   If you are ordering by credit card, our staff will contact you for the information.  If you have an account with us, please check the box.  Don't forget your P.O. number. 

 

Since most of our products are technical in nature, we will normally contact you to confirm your specifications.  If you do not need us to contact you, you may check the "firm order" box, and we will fill it, add freight and ship it. (Note: credit cards require us to contact you.)   If you do not know the price, you may estimate it, or leave it blank.  We will contact you.

 

Item Part Number Description Quantity Price
1    
2    
3    
4    
5    
6    
 Charge Sales Tax:                           Freight:  
This is a firm order ...  Correct pricing errors, (up to ), add taxes/freight and ship it to me.
This is an order, but I need Information or a Quote ... Contact me
Quote me .... Send me a Quote.
Other ...
I have an account. 
I would like to open an account,  contact me ( $ 250 minimum).
I want to use a credit card (We must contact you for credit card info and validation).  
Other ...
Use my P.O. #
Ship To:  (* Required Field)
Name  *  
Company  *  
Address
City, State, Zip  *  
Country
Bill To:    Use same as above with exceptions shown
Name
Company
Address
City, State, Zip
Country
Other Info: (* Required Field)
Phone Number *  
Fax Number
E-Mail *  
Other Information

 

 

 

 

 

 
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Advanced Industrial Systems, Inc.
1-800-532-2477         Fax:  1-502-228-0127       Sales@AdvIndSys.com

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Copyright 1997 - 2008 Advanced Industrial Systems, Inc. All rights reserved.
Last modified: Tuesday July 08, 2008.