To place your order, print out this form, fill in completely, and fax to RAM at 205 - 263-1036.

Company Name: _________________________________________________________________
Your Name: _________________________________________________________________
Phone Number: (____________)____________________________________________________
Fax Number : (____________)____________________________________________________
E-mail Address: _________________________________________________________________
   

RAM Order Number Description Quantity
_______________________ _______________________________________________________________ __________
_______________________ _______________________________________________________________ __________
_______________________ _______________________________________________________________ __________
_______________________ _______________________________________________________________ __________
     

Shipping Address: _________________________________________________________________
City: _________________________________________________________________
State: _____________________________  Zip Code:  ___________________________
Attention: _________________________________________________________________

Circle Preferred Shipping:

        NO Preference  /  The Best Way   /  AAA Cooper  /   DHL   /   Fed Ex  /   UPS
Special Instructions or Comments:
     _______________________________________________________________
   

Your Company PO Number : _________________________________________________________________
Accounts Payable Contact Name: _________________________________________________________________
Billing Address: _________________________________________________________________
City: _________________________________________________________________
State: _____________________________  Zip Code:  ___________________________
   

For new customers without an active account:   please indicate credit card information below to ensure prompt delivery. If you will include your company credit information along with your order, we will be glad to set you up with an account for future orders. Thank you.
   
Circle Credit Card Type: Visa   /  MasterCard  /  American Express
Name shown on card: ______________________________________________________________________
Credit Card Number: _______________________________________     Expiration Date:____________________

Thank   You   For   Your   Business!