Order Form

Electrodepot Commodity FAX Or Online Order.
21218 St Andrews Blvd 508, Boca Raton, Fl 33433 USA Phone 561 750 6155

FAX 561 892 0712

When accepted, you have 2 business days to complete the transaction
Since solar panels are commodities this are subjected to the market price at this date
Disclaimer: If your payment is not recorder, We can not warranty the price or delivery after 72 hours.

Catalog Num.	Product Description	Qty	Unit Price	Tot. Price





			SUB TOTAL.

Please Include Sales Tax where applicable
..................Shipping charges will be forwarded after your order is entered
TOTAL AMOUNT. $

The information your submitted will be maintained confidential and not sold to third parties

Company:

Name:
*E-mail:
Phone number:
Fax number:
Billing address:
Shipping address: (if different from above):
:

	Forward your payment to: Bank of America, Boca Raton, FL 33433 USA Account: Electrodepot, aba 063000047 :acc n 005483209054 Customer bank transaction record number code (optional)
	(Required) Customer approval signature: Signature ______________________________________

Thank You. Return

*International Shipping Charges, will be confirmed via E-mail. Regular ground or parcel post shipping. For Rush shipping please Call Form Cmed2002 Electrodepot