Mail-in Order Form

IMPORTANT NOTE:    
  • You must be over 18 years old to fill out this form.    
  • Minimum order: $100.00 (in US dollars).    
  • Please fax or mail this form to:
         MeshTel - INTELITE, INC. PO BOX 774, Genoa, NV 89411, USA, Tel: 775 267 5959, Fax: 775 267 5958
    Date (m/d/y)           P.O. No.
    Name     Company
    Phone     Fax
    E-mail
    Billing and Shipping Addresses:Ship to Billing Address
    Item # Description Unit Price Q'ty Amount





    Sub-Total Cost: $
    US Domestic Shipment
    UPS Overnight
    UPS 2 days
    UPS 3 days
    UPS GROUND
    Own A/C#
         DHL FedEx UPS
    Out of US Shipment
    UPS  2 - 3 days
    EMS  5 - 7 days
    Registered Mail  7 - 14 days
    Own A/C#
         DHL FedEx UPS
    Shipping/Handling/Insurance $
    Shipping Instructions:
    Nevada Sales tax $    (7.50%) Shipping inside Nevada
    Shipping outside Nevada
    Resale, Tax Exempt
    Total Cost: $
    • The purchaser of OEM items shall be solely responsible to conform all finished products
      to all government regulations pertaining to the manufacture and use of product; including,
      but not limited to Department Health and Human Services, Food and Drug Administration,
      Center for Devices and Radiological Health and Regulations, Title 21 CFR chapters.
    • Merchandise for return or repair shall not be accepted without R.M.A.# and original shipping box.
      All returned units are subject to a 20% restocking fee and any additional charges resulting from product damage.
    • Discrepancies must be reported within 3 days from receipt.
    • There is no refund or replacement by any means on laser diode purchases.

      MeshTel - INTELITE, INC.
      PO BOX 774, Genoa, NV 89411, U.S.A.  Tel:(775) 267-5959, Fax:(775) 267-5958


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