Welcome to our online order form. Please fill out all of the information. Call us at 270-554-7700 and ask for Mitzi Cary or stop by and see us to place an order. You may also E-mail Mitzi at mitzi@cpoint2.com.

 

Customer Information

 

Note: All fields with (*) are required for order to be processed
Full Name:*

Company:*

Shipping Address:*

City:* State:*  Zip code: *

Phone:* Fax:

Email: *


Purchase Information

  Printer Model

1. Part#*Quantity* Description *

2. Part#*Quantity* Description *

3. Part#*Quantity* Description *

4. Part#*Quantity* Description *

Do you have an account with us? Yes No

If above answer is no. You will notified by phone for payment information.


Additional Questions or Comments:

Thank you for ordering from Connecting Point. You will be notified when your order is received.

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