Sandown Wireless Order Form

P.O. Box 564, East Hampstead, NH 03826

UPS or FedEx Only: 19 Phillipswood Road, Sandown NH 03873

FAX To: 603-887-2117, Toll Free: 866-379-8437, Tel: 603-974-0725

    (Print This Page, 2X-8.5 X 11") or use the:  Microsoft Word version or Adobe.pdf Version

Please Clearly Print All Required Information, If possible, enclose this form with your Dept. PO.

Sold To:  (Credit Card Billing Address)                         Ship To: (Final destination)

Name:_______________________________________  Name:_____________________________________

Address:_____________________________________  Address:____________________________________

City: __________________State:____ Zip:_________  City: ___________________State:____Zip:_______

Telephone: ______________________ Fax: _____________________ e-mail: _________________________

                         Check Enclosed  ___       Money Order Enclosed  ___       Credit Card Order ___

 Purchase Order Number: (______________)     Master Card: ____ Visa: ____ Discover: ____ 

Card Number: __________________________________________________________________

Exp. Date: ______________  Name On Card (Print): __________________________________

Signature (Required if using Credit Card) ____________________________________________

Returns: Full Refund Offered for 30 days if not Satisfied with Supplied Products. Items must be 

returned as new, unused parts. We will make every effort to supply the correct parts for your use.

Item Manufacturer, if known: _________________________________________________

*Batteries, Please Supply Exact O.E.M Equipment Model and Battery P/N if you have it!

*Model: ___________________________ *OEM Battery # ____________________________

Qty------Part Number-----------------Description-----------------------Price Each--Item Total

_____  ______________  ___________________________________  _________  ___________

_____  ______________  ___________________________________  _________  ___________

_____  ______________  ___________________________________  _________  ___________

Sub Total Material Cost: _______________________ Shipping: _________________________

Order Total:  $ _______________________  U. S. Dollars    

Shipping: Add $8.10 for handling and shipping from 1 to 5 radio battery packs, in continental USA. Add 

$1.50 for each additional battery pack. In Canada, Mexico, Hawaii, Alaska & Puerto Rico add $12.00

for shipping 1 to 5 battery packs and $1.50 for each additional pack. For Rebuilt TOOL Battery packs

$8.10 for the first pack and $5.00 each additional pack (US Shipments). For all other items, call for quote.

Payable in U.S. currency only. See warranty pages for guarantees. Shipping by Priority Mail or UPS.

Mail or Fax This Form To:

Sandown Wireless, P.O. Box 564, East Hampstead, NH 03826

Or Fax To: 603-887-2117

To Contact Sales, Call: 603-548-0125 (Ask for Keith Clark)

E-mail: Sales

Personal Information will not be given to anyone else for any reason. If you feel more comfortable

calling in this order directly to Sandown Wireless Sales, please do so. Every effort is made to protect

the privacy of our customers. That is why we ask that you mail or Fax us this information. 

Dealers, Volume Customers (100+) & Government Accounts: Please call for pricing.

Call: 603-548-0125 or Fax: 603-887-2117. We will be happy to quote your requirements.