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    eToner.com

  
 
 New toner at low prices.
  Why pay more?   
  

  
tel  (800) 365-5566   
  fax (800) 289-8083   
 



To Fax or Mail An Order:
Fax or mail this form (or your purchase order), to 1-(800) 289-8083, or mail to eToner, Inc. PO Box 1349, New Milford CT 06776
To print this form: From your browser menu select File, Print Frame.
    
   
Purchase Order #: _________(not required) Tel # _____________ 
Person to contact: __________________ Fax # ____________
Bill to:_____________________________________ Ship to:___________________________________
Co:________________________________________ Co:________________________________________
Street:_____________________________________  Street:_____________________________________ 
City/State: ________________________________ City/State: _______________________________
Zip: ___________   Country: _________ Zip: ___________    Country: _________
Att:________________________________________ Att:________________________________________
    
 
   
 Quantity Item # Description Unit Price
 ___________ ________________  ___________________________  _________ 
 ___________ ________________  ___________________________  _________ 
 ___________ ________________ ___________________________  _________
 ___________ ________________  ___________________________  _________ 
   
 

Shipping charges:   

if order is over $75, shipping is free
if between $50 to $75, add $6
if below $50, add $9.50  
 
 

CT state locations add applicable sales tax.           

_________

Order total amount.          

_________ 
 Visa / Master Card / Amex / Discover (circle one)  Expiration Date          ___/____
 Card Number   _________________________ Card Number   _________________________   Name on Credit Card  ____________________