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