PDF BHC Order Form - B&H Photo Video

ORDER FORM

Photography / Optics

Video

Mobile Tech & Home Entertainment

Computers

Pro Audio

212-444-6635 ? 800-947-7785 212-444-6686 ? 800-947-1186 212-444-6692 ? 800-947-4414 212-444-6691 ? 800-947-3308 212-444-5072 ? 800-859-5252

SEND FIRST CLASS MAIL ORDERS TO: B&H PHOTO ? PO BOX 8698 ? NEW YORK, NY 10116-8698FAX: 212-239-7770 ? 800-947-7008ON THE WEB: SEND USPS EXPRESS OR PRIORITY MAIL, SIGNATURE/DELIVERY CONFIRMATION, FEDEX, UPS, OR OTHER COURIER ORDERS TO: B&H PHOTO ? 420 9TH AVENUE, NEW YORK, NY 10001

Name: Address: City:_______________ State:____ Zip:______ Phone:

SHIP TO: (if different than above) Name: Address: City:_______________ State:____ Zip:______ Phone:

Order Date:____________________$ Enclosed:____________________

Check

Cash

Money Order

Visa

MasterCard Discover/Novus American Express

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Expiration Date:_________ Bank Issuing Card:____________________ I can be reached during the day at:

QUANTITY SKU/MODEL #

DESCRIPTION

UNIT PRICE

AMOUNT

Signature:

PLEASE FILL IN ALL INFORMATION

Shipping

N.Y. State Customers, Add Applicable Sales Tax of Your Area

TOTAL

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