| Continental United States
ONLY
(transit times are normal business days excluding
day of shipment, weekends & holidays -- not all services available
to all locations) |
FedEx Express Saver (US$ 13.00) (3rd business day
by 4:30 p.m to business addresses / 7:00 p.m. to residential addresses) |
| FedEx
2nd Day (US$ 17.00) (2nd business day by 4:30 pm) |
|
FedEx Standard Overnight (US$ 27.00) (next business
day by 4:30 pm) |
|
FedEx Priority Overnight. (US$ 37.00) (next business
day by 10:30 am) |
|
FedEx First Overnight. (US$ 67.00) (next business
day by 8:30 am) |
| Alaska,
Hawaii, Canada & International |
|
Shipping Code: ___________ from the shipping
options page (containing
options, cost & approximate delivery times) |
|
Payment
Options:
|
—Visa —Master
Card—American
Express —Discover |
| |
|
|
Bill
To (and Credit Card Details):
|
<=Check if "Ship To" address is the SAME as "Bill To" address
A physical
street
address is required for FedEx delivery -- no PO Boxes. |
|
Name:
[exactly as it appears on your credit card]
|
Mr.
Ms.
Mrs.
Dr.
_____
_________________________________________________ |
|
Company
Name:
[if applicable]
|
_________________________________________________ |
|
Credit Card
Number:
[e.g.: 0000-0000-0000-0000]
|
_________________________________________________ |
|
Expiration
(MM/YY):
[e.g.: 01 / 09]
|
Month:
______ Year: ______ |
Credit
Card Billing Address:
The billing address and
zip code MUST
match those on file for
the card. |
_________________________________________________
_________________________________________________ |
|
City:
|
____________________________________ |
|
State/Province:
|
____________________________________ |
|
Zip/Postal
Code:
|
____________________________________ |
|
Country:
|
____________________________________ |
|
(Area Code)
& Daytime Phone:
[required for delivery]
|
(
)______________________________ |
|
Fax:
[if any]
|
(
)______________________________ |
|
E-Mail:
[valid e-mail address required]
|
_________________________________________________ |
|
Signature:
|
I hereby authorize
Delta Translator USA to make the above charge to my credit card
X _______________________________________________ |
|
Name:
|
Mr.
Ms.
Mrs.
Dr.
_____
__________________________________________________ |
|
Company:
[if applicable]
|
_________________________________________________ |
|
Ship to
Address:
|
[physical
street
address required for FedEx delivery -- no PO Boxes]
_________________________________________________
_________________________________________________ |
|
City:
|
_________________________________ |
|
State/Province:
|
_________________________________ |
|
Zip/Postal
Code:
|
_________________________________ |
|
Country:
|
_________________________________ |
|
(Area Code)
& Daytime Phone:
[required for delivery]
|
(
) ___________________________ |
Delta
Translator — Fax Order
Form |
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