(Print this order form then FAX or MAIL it)

T-NET International
P. O. Box 460579,  Aurora, CO 80046-0579
Phone: (800) 995-5362  Fax: (720) 886-0739

Order Date _______________ Ordered By:_______________________
Date Needed: ___________ Normal orders will be shipped UPS Ground
NOTE: Shipping Charges will be added to orders

Shipping Address:
        Attn: _________________________________________________
        Address: ______________________________________________
        City: _______________________ ST ____ Zip: _______________

Billing Address:
        Attn: _________________________________________________
        Address: ______________________________________________
        City: _______________________ ST ____ Zip: _______________

Payment Type (Circle One):  Invoice Me     Check      MasterCard    Visa

Card # _____________________________ Expiration Date __________