Dealer Information / Order Form

OTS Account #     (Note: you do not have to fill out the Billing or Shipping Address if you have an OTS Acc.# and nothing has changed since your last order).

P.O. #

Name: Mr. Mrs. Ms.

Telephone #: Area/Country Code: #:

Fax #:Area/Country Code: #:

Email Address: Web Site:

Billing Address:

Store Name:

Address: City: State:

Postal Code:    Country:

Ship to Address:

Name:   Same as above Our other location Drop Ship Call me

Address: City: State:

Postal Code:     Country:

Method of Payment:

Master Card   Visa Card - Credit Card #: 

COD (Bank Check)  Bank Wire Transfer  Prepay

Method of Shipment: UPS Ground UPS 2nd Day UPS 3 Day UPS One Day UPS Letter Pack Fed X Standard Fed X Sat. Del. Fed X Int'l Best Way DHL Standard Emery Best way Fastest way poss. Customer Request

I will accept a partial shipment: YES NO Contact me

Date you require product to arrive shop   (note: OTS will call if date cannot be met)

1 Model Number SKU # QTY. Price $

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