YOUR GUARANTEE OF EXCELLENCE

                                Order Form

Orders must be placed by 12:00 noon, Eastern Standard Time for same day shipping ! ! !

Customer Number:     New Customer:   Purchase Order: 

Ship  To: 

Address: 

Address:

City:          State:  Zip:  

           Phone Number:  --          Fax Number:  -- 

                                 Billing Address if different than above

Bill To:     

Address:

Address:

City:           State:    Zip: 

    Qty.    Model #                 Description                     Price     Extended Price

                                                                                             Total:  

      * All orders are shipped UPS Ground Service unless otherwise specified.

                                         Credit Card Information

Cardholder Name:

      Card Number:  

           Card Type:     VISA MASTERCARD       Expiration Date: 

                                   Billing Address for Above Card

             Address: 

                  State:      Zip Code:             Phone: --

                          Phone: 1(610)948-7100                       Fax: 1(610)948-2018

Revised 10/02/02