MICRODESIGNS, Inc.
1979 S. Bibb Dr.
Tucker, GA   30084
+1 (770) 493-6318 voice    +1 (770) 493-7270 FAX

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Secure QwikFlash Order Form

Please enter the following information, press the "Print" button to print it for your records, and then press the "Submit" button to submit your order.
  • Items shown in red are required
  • Minimum order is $25.00
  • Shipments to Georgia addresses are subject to 7% Georgia sales tax
  • Prices apply to quantities from 1 to 24; for larger orders, contact Microdesigns for price and delivery
Shortly after you submit your order, we will send an order confirmation to your e-mail address.

Name
E-mail address
Area Code & Phone Number


Shipping address:
Organization
Address1
Address2
City
State
Zip/Postal code
Country (other than USA)
Type of Address
Business Residence


Credit Card billing address (if different than Shipping Address):
Address1
Address2
City
State
Zip/Postal code
Country (other than USA)


Item #1: Qty.  each of 
Item #2: Qty.  each of 
Item #3: Qty.  each of 
Item #4: Qty.  each of 
Item #5: Qty.  each of 
Item #6: Qty.  each of 
Item #7: Qty.  each of 
Item #8: Qty.  each of 


Shipping Preference
UPS ground
UPS Blue (Second Day Air)
UPS Red (Next Day Air)
U.S. mail (required for P.O. boxes)
International (Priority Mail International)
Other (please specify): 

International shipments will be made via Priority Mail International -- unless otherwise instructed in the "Special Instructions" box -- because in our experience other methods of shipment are typically much more expensive. Note that shipping costs do not include customs charges, which are your responsibility.


Credit Card Information Visa MasterCard American Express Will telephone Will FAX
Name on Credit Card
Credit Card Number
Card ID (CVV) Number
    How to find your Card ID number
Expiration Date of  


Special Instructions, Suggestions or Comments


Before pressing "Submit", press the "Print" button to print a copy of this order for your records. Shortly after you submit your order, we will send an order confirmation to your e-mail address.

          



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MICRODESIGNS, Inc.
1979 S. Bibb Dr.
Tucker, GA  30084
(770) 493-6318
(770) 493-7270 FAX
Last updated 01/24/2018