ORDER FORM
SOLD TO:

Ship to this address

   SHIP TO:

(if different from "sold to")
P.O. Number (If applicable)  
Company name  
Buyer's Name / Title *
Street Address *
City *
State *
Zip *
Phone *
Fax  
 
Company name  
Contact / Title  
Street Address  
City  
State  
Zip  
Phone  
E-mail  
ORDER INFORMATION:

QTY

ITEM CODE

DESCRIPTION

 UNIT PRICE TOTAL COST
Shipping - For most small orders we ship via UPS or FedEx. We offer express air and economical two day air service on most items in stock.
For large orders, we'll ship freight collect by the most reliable and inexpensive carrier to your location.
Most of the standard fittings in satin chrome finish are stocked or quick delivered in 5-7 days. Lead time on non-standard fittings or special finishes may vary 15-30 bus. days. Consult your salesperson for details.		 Returns - Inspect all your shipment immediately upon arrival. If your order is not received in satisfactory condition, keep all packaging and notify us within 3 days of receipt. Stock merchandise in original, unopened packaging may be returned for refund within 15 days of receipt. Items must be in their original state (undamaged). Shipping and handling charges for returned items are non-refundable. All returns must be accompanied by the order statement. A 15% restocking fee will be charged on all returns.
* For Shipments within CA add 8% Sales Tax.
* UPS Ground - Unless otherwise specified.
Orders less than $300, add 16%. Orders over $301, add 11%. Oversize Cartons $10 for each package.
Shipping method *

SUBTOTAL

TAX*
SHIPPING
TOTAL AMOUNT
METHOD OF PAYMENT:   BILLING ADDRESS:
Credit Card type *
Credit Card Number *
Expiration Date mm/yy *
Security # *
Cardholder's Name *
 
Company name *
Street Address *
City *
State *
Zip *
Phone *
ENCLOSURES
Catalog Request Installation Guidelines

Nova Display Inc. 1626 Piner Road
Santa Rosa, CA 95403		 1.707.535.0253 tel
1.707.535.0254 fax		 1.800.753.9688 toll
1.800.753.0856 fax (toll)		 www.novadisplay.com
www.store.novadisplay.com		 info@novadisplay.com
sales@novadisplay.com