Typewriter Ribbon Order Form

Rather order by mail? Then print out this form, fill it out and mail it to us along with payment and we'll ship your supplies right out.

Typewriter Ribbon Order Form

To place your typewriter ribbon order, simply fill out this form and fax or mail to Scantracker.

Mailing Address:

Scantracker,

3021 Merriam Lane

Kansas City, KS, 66106

Voice Line : 1-800-816-6855

Fax Line : (913) 384-5599

· Customer Name:__________________________________________

· Company Name:__________________________________________

· Shipping Address:________________________________________

· City:___________________________________________________

· State:__________________________________________________

· ZIP Code:_______________________________________________

· Phone Number:___________________________________________

· Fax Number:_____________________________________________

Printwheel font preference _________________________________________

Pitch Size ______________________________________________________

Method of Payment: Please fill in payment media as applies

· Credit Card order by FAX : [_]

Master Card: [_] Visa : [_] American Express: [_] Discover: [_]

Credit Card Number : ___________________________________________________________

Expiration Date: _______________________________________________________________

Cardholder Name (if different than listed above) _______________________________________

· Check by mail, enclosed with this order form : [_]

Please add $7.50 shipping and handling for all supply orders

Please sent checks by mail, along with this form to:

Scantracker, 3021 Merriam Lane, Kansas City, KS, 66106

· Typewriter Make:_______________________________________________________

· Typewriter Model:______________________________________________________

Thank you for placing your order with www.scantracker.com !!

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