User Manual

BAUM
BAUM EASY-FAX Order Form
1660 Campbell Road Fax #: [phone]
Sidney, OH 45365 or - 1-937-497-8301
PH: 1-800-543-6107 If you need information or assistance identifying part numbers please
-or- 1-937-778-9636 call our Parts department toll free at 800-543-6107 between the hours
of 8 a.m. and 5 p.m. EST
Customer Information : For Billing
Ship-to Information:
Acct #: ___________________ P.O. Nbr: __________________________
Company: ______________________________________ Company: _______________________________________
Contact: ______________________________________ Contact _______________________________________
Address: ______________________________________ Address: _______________________________________
City / St: ______________________________________ City / St: _______________________________________
Zip: _____________________ Zip: _____________________
Phone: _______________________________ Phone: _______________________________
IMPORTANT: If you do not indicate order status, order will be assumed to be “Normal”
ORDER STATUS: Emergency Order ______ Rush Order ______ Normal Order ______
Qty Part Number Description * Model# & Serial #
_____OK to ship C.O.D. if necessary
Shipping Instructions: (mark only one)
_____UPS Ground _____UPS 2
nd
Day Air _____UPS Next Day _____Federal Express _____Truck ____Other ___________________
(Please specify)
Charge Card Information: _____VISA _____Mastercard Name on Card: ______________________________________________
Expiration Date: ____________ Phone #: ________________________
Card #: ____________________________________________________
* For Machines under Warranty you MUST supply Serial# and Model# above