This form is to place an order outside our shopping cart. Fill in your information and we will contact you for your credit card by phone. An invoice will be emailed to you. Filling out this form constitutes acceptance of the terms and conditions of sale as found on this website.

  • Your device will be shipped to this address by Fed Ex. Please do not use a PO Box.
  • Please make any notes that are specific to your order, including note of any special offer or pricing you may be wishing to take advantage of.