Orders are usually shipped the day they are ordered. Please specify shipping
method.
Order Form: Please print off this form and mail Call 269-365-7744, 9-5 CST with questions/support/ordering.
BRAND ELECTRONICS
219 Old Stage Road;
Roscommon, MI
48653
Check payment method :
__ __ ____Check or
Money Order enclosed
First Name : ___________________
Address:______________________
Middle Initial:
_______
Address:______________________
Last Name:
___________________
Address:______________________
Phone #___________________
Credit Card #: __________-__________-__________-_________
Expiration Date: __-____
Quantity @ $_____.___ each: ____ x ____
Shipping to all 50 states (UPS Ground or US Priority mail)$15 ____
Add $35 if you want next day shipping (UPS Red) per each unit:____
Add 5% if shipped to WI:____
Total:______