Download Credit card order form
Ecredit-US$.doc, Ecredit-EUR$.doc, Ecredit-US$.pdf, Ecredit-EUR$.pdf
Credit Card Order Form (It's your only record of this transaction)
1. Print this page fill in blanks, FAX back to +886-2-29127052 or 29114751
2. or scan it and E-mail to connie@costronic.com or connie@costronic.com.tw
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(__)VISA Card (__)Master Card (__)JCB Card,Expiry Date:Month:_____Year:______ Card number __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __ ______________________________ last
3-digits on back of credit card __ __ __ _____________________________________________ Date:__________________
Company Name:_____________________________________ Div/Dept:__________ Name:_______________________________________ Title:___________________ Address:____________________________________________________________ ____________________________________________ Country:________________ E-mail: ______________________________Web site http://____________________ Tel:(+_____)-(____)-(________________) Fax:(+_____)-(____)-(_______________) Purchase Model-No. / Quantity / Unit Price 1. 2. 3. 4. Amount: ___________________ x 1.05(Service Fee) = US$________________ Payment must between USD 50 and USD 1000, and do US$ to NT$ currency conversions.
The last 3 digits on the back of credit card, you can fill it in this Form or advise to us via E-mail: connie@costronic.com or connie@costronic.com.tw Costronic co., ltd. Fax: +886-2-29127052 or 29114751 Tel: +886-2-29161193 Business Hour: Monday -- Friday 10:00am - 6:00pm |
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1. COSTRONIC founded since 1987.
2. Use this Order Form is more safety than On-line Credit card shopping.
3. Order follow "Quantity/Amount", we offer you Discount;
| A item's quantity | Discount |
| Sample/1Lot | NO |
| 2-5pcs/2-5Lot | 10% Off ( x 0.9 ) |
| 6 UP | Inquiry |
| 10 UP | Inquiry |
| 50 UP | Inquiry |
| 250 UP | Inquiry |
4. Download Credit card order form Ecredit-US$.doc, Ecredit-EUR$.doc
fill(Signature) in blanks, then FAX: +886-2-29127052 or 29114751
or scan and E-mail to connie@costronic.com or connie@costronic.com.tw
5. Agent/distributor and not use "sample price order" buyers no discount.
The example as below

1. When we receive your Credit Card Order Form and get Credit card Auth. No.
Will E-mail below message to you:
Dear Sir/Madam, Shipping advise
Thanks for your Credit Card order USDxxx.00 the shipment will by EMS/DHL/UPS/FeDex
within 7 days, after the shipmented will E-mail the AWB Number to you for tracing.
Costronic co., ltd. http://www.costronic.com
2. and your order shipped, will E-mail below message to you:
Dear Sir/Madam, shipped advise
Your order USDxxx.00 shipped today via EMS, the tracking numbers EE33104xxxxTW,
You can link to http://www.post.gov.tw/post/internet/u_english/index.jsp?ID=21
after 24H to do EMS tracking.
Costronic co., ltd. http://www.costronic.com
3. and will attached the cardholder copy to do double check and invoice with products
to you.
| Costronic since 1987 | |
| We are NCC Merchant member |
Download Credit card order form
Ecredit-US$.doc, Ecredit-EUR$.doc, Ecredit-US$.pdf, Ecredit-EUR$.pdf
Reserves rights to make changes in pricing and policies at any time without notice.
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Start: 10/04/1998 Update: 05.31.2011