Sandown Wireless Order Form

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

          UPS or FedEx: 19 Phillipswood Road, Sandown NH 03873

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

    (Print This Page) 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, Radio Battery Packs:

Add $10.50 for handling and shipping from 1 to 5 radio battery packs, in continental USA. Add  $1.50 for

each additional radio battery pack after five. For all other locations, please call for a quote.

Shipping, Rebuilt TOOL Battery packs (To & from shop & back to you):

$12.50 for the first tool pack and add $5.00 for each additional pack, (USA lower 48 shipments only) up to

15.6 Volt packs. Over 15.6 Volt tool packs, $15.50 for the first pack and add $7.00 per pack after that. For

all other locations, please contact us for a shipping quote. For all new packs, please call for a quotation.

Payable in U.S.A. dollars only. Please see our warranty pages details. Shipping, depending on items is usually

with UPS or FedEx. Shipping for Medical, Computer, SLA & all other types will be quoted on request.

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 Toll Free: 866-379-8437

E-mail: Sales (sales@criticalresponder.com)

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 Toll Free: 866-379-8437 or Fax: 603-887-2117. We will be happy to quote any of your requirements.