ELCOM SYSTEMS INC
20423 State Road 7, F-6 #255
Boca Raton FL 33498-6797 USA
Phone/Fax  (561) 883-1945
MAIL OR FAX ORDER FORM
NOTE: DO NOT E-MAIL  CC INFORMATION
WARRANTY: Defective parts are returnable under our 90 day warranty. NOTE: Diodes are not guaranteed against breakage, static discharge, or burnout. Obtain authorization and RA number from us. List our Invoice Number and RA number on packing slip. Send via prepaid insured mail. We will evaluate the parts and notify you of the cost of repair or replacement. The return of unused standard catalog parts in original unopened bags will incur a 25% restocking charge.

Elcom Systems Inc assumes no liability for damage to ancillary equipment or personnel, due to the use or failure of our products, since we have no control over their application.

No other warranties or guaranties are expressed or implied.

TERMS: FOB Boca Raton Florida. Payment in US funds by cashier's check on US Bank, VISA or Mastercard in US dollars. We ship via Fedex 3 day, not UPS.
           SHIP TO:                             CREDIT CARD TYPE:

      COMPANY NAME:                            FULL NAME ON CARD:

      BUYER'S NAME:                                  CARD NUMBER:                         

      THREE NUMBER CODE ON REAR OF CARD:

    STREET ADDRESS:                              EXPIRATION DATE:

    CITY-STATE-ZIP:                                    SIGNATURE:______________________

  PROVINCE-COUNTRY:                                 PHONE NUMBER:

PURCHASE ORDER NO.:                                   FAX NUMBER:
                                                 
              DATE:                               E-MAIL ADDRESS:

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