Page last updated Oct 20, 2021 @ 10:13pm
Mail/FAX Order Form
It is best to place your order using our online shopping cart without your credit card data, print the checkout screen, write in your credit card info, and mail or fax it to us. Using this online method is best because it tells you the exact shipping & handling amount. The formula below is only approximate. If you do not want to use our online shopping cart then you can print this page and mail or FAX it to us with your check, money order or credit card information. Make checks payable to No Outage.com LLC. We will confirm your order by e-mail and notify you when it ships. We will also include the shippers tracking number(s) if possible so you can monitor it in transit.
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SOLD TO: | SHIP TO: (if different from sold to) |
Name | ||
Company | ||
Number & Street | ||
City | ||
State & Zip | ||
Phone Number | ||
email address | ||
Comments, How you found us, etc. |
Row | Product Item Number | Description | Qty | Weight Each | Price Each | Total Weight | Total Price |
1 | lbs |
$ | lbs |
$ | |||
2 | lbs |
$ | lbs |
$ | |||
3 | lbs |
$ | lbs |
$ | |||
4 | lbs |
$ | lbs |
$ | |||
5 | lbs |
$ | lbs |
$ | |||
6 | lbs |
$ | lbs |
$ | |||
7 | lbs |
$ | lbs |
$ | |||
8 | lbs |
$ | lbs |
$ | |||
9 | lbs |
$ | lbs |
$ | |||
10 | lbs |
$ | lbs |
$ | |||
11 | Total of two columns above (sum of rows 1 through 10) | lbs |
$ | ||||
12 | State Sales Tax for Virginia destinations (5.3% of row 11) |
$ | |||||
13 | Approx. Shipping & Handling Computed from row 11: (lbs x 0.50 + $12.50) | $ | |||||
14 | Total Price plus Shipping & Handling & Tax (row 11 plus row 12 plus row 13) | $ |
By placing this order I indicate that I have read the Terms & Conditions of Sale and agree to them. Approx. Shipping & Handling example computation for 10 lbs: 10 lbs x 0.50 + 13.00 = $18.00. All shipping & handling prices are for destinations in the continental U.S. only. If you will be picking up your order at the address below, shipping charges are waived, but 5.4% Virginia sales tax will be added to order. Be sure to contact us to schedule a pickup time. For other U.S. destinations, request a quote by email.
Payment Method |
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(__) Personal Check | (__) Visa (__) American Express | |
(__) Cashiers Check | (__) MasterCard (__) Discover | |
(__) Certified Check | Expiration Date (___/___/___) | Security Code (______) |
(__) Money Order | Account Number (______-______-______-______) | |
(__) Wire transfer | Name as it appears on card: | |
Your Signature: |
Contact us by phone or email for best full mailing address, which will be at one of these locations:
NoOutage.com LLC
Mechanicsville VA 23111NoOutage.com LLC
McLean VA 22101
Or FAX to:
If you need to reach us by phone, our number is