1-Step Metric Printable Order Form

You may either blank and fill it out by hand or fill it out on the computer and print it.

Shipping Address:

Name: *

Company:

Addr 1: *

Addr 2:

City: *

State: * Zip: *

Phone:

Email:

Billing Address (if different):

Name:

Company:

Addr 1:

Addr 2:

City:

State: Zip:

Phone:

Email:

Product / Shipping / Payment

Quantity (Grey):	x $49.95 each =
Shipping & Handling:		(see options below)
Sales Tax:		(8.50% on shipments to CA only)
TOTAL:		*

Ground - $6.95 1st unit^*

3 Day - $15.95 1st unit^*

2 Day - $19.95 1st unit^*

1 Day - $34.95 1st unit^*

^*Add $2.00 for each additional unit.

Visa MasterCard Amex Discover

Card #: Exp:

IMPORTANT: 'intelliHoldings' will appear as the seller on your credit card statement.

Check (make payable to 'intelliHoldings')

Signature _________________________________________*

By printing your order and signing above you understand and agree that:

All fields followed by '*' are required for us to process your order.
All orders ship within 1-2 business days of payment receipt and verification.
Credit card orders must include billing address and phone number (where bills for card are received).
If you do not enter a valid e-mail address we will not be able to provide order status or contact you if issues arise.
Order must be signed by owner of the credit card or checking account used for payment.
Payment must be received in full before we process your order.
We are not responsible for requests and payments that are lost or delayed in the mail.

Fax the first page of this form to (866) 242-0083 (credit card payment only) or mail it along with your full payment to:

1-Step Metric
P.O. Box 22234
San Francisco, CA 94122