Instructions:

Use this form only for check or money order purchases. Please print and complete the order form below, and mail it along with your personal check, cashier’s check or money order made payable to UHLTronics. Note: Personal checks are subject to hold for clearing.

Mail to:

UHLTronics
Attn: Order Dept.
1059 Red Oaks Loop
Albuquerque, NM 87122

» Step 1: Ordered By

Name

Company

Address

City, State, Zip

Telephone

e-mail address

» Step 2: Ship to (if different than 'ordered by')

Name

Company

Address

City, State, Zip

Telephone

e-mail address

» Step 3: Merchandise Quantity