DesignTech FAX Order Form

We accept Personal Checks

Before ordering, please review our shipping and return policies on the FAQ/Policies page

Please E-mail before sending a personal check or money order to verify stock and to let us know a check is on the way. Your item will be shipped after the check clears. There will be a $25 charge for all returned checks.

Instructions: Highlight the FAX form ... Edit/Copy & then paste into your Notepad, WordPad, or your favorite Word processor as a Text document or using Courier New Font. Fill-in all of the information required. Please use a large enough font so we can read the fax! Thank you. When completed you may FAX your order to (937) 235-8013

DesignTech Computer Group will e-mail or phone confirmation.

                   DesignTech Computer Group


                        FAX Order Form



 Qty  Part Number        Product Desc                   Price



____ ____________ _____________________________________ $_____



____ ____________ _____________________________________ $_____



____ ____________ _____________________________________ $_____



____ ____________ _____________________________________ $_____



____ ____________ _____________________________________ $_____



____ ____________ _____________________________________ $_____


                        UPS ground shipping & handling  $6.00
   (May be more for larger items or Alaska and Hawaii)


             Ohio Sales Tax (6.5%) if shipping to Ohio  $



                                                 Total  $_____


Shipping Address:



Name           ____________________________


Company        ____________________________


Address        ____________________________


Address        ____________________________


City,State,ZIP ____________________________ (cannot be California,

Alaska, Hawaii or non-US)


Phone          ____________________________


E-mail address ____________________________



Credit Card  _______ - _______ - _______ - _______  Expires _________


Credit Card Type (VISA/MC/Novus/Discover)


Full Name on Credit Card ____________________________________



Issuing Bank of Credit Card _________________________________



Debit or Check card? ______



Billing Address must be the same as Shipping Address.