Order Form
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You may type on the fields below, then e-mail or print and mail

Please do not include credit card information

 Company Name Phone e-mail
       

 Address  City  State  Country  Zip Code
         

 Model# Description Quantity Price Total
         
         
         
         
         
         
         

 Subtotal  P.O. Number  Shipping Cost  IL tax add 7.75%  Total
         

COMMENTS or additional order items

After completing the form, click on the submit button for e-mail ordering

OR: Print the order form and send to:

Dial-A-Tech Communications

10139 A-6 S. Harlem Ave., Chicago Ridge, IL 60415

phone: (708)425-6605; fax: (708)425-5902

e-mail us at: avaya@attbi.com