Custom Order Form v2 Custom Order Form Please provide the following information. This will get you set up in our accounting system which we only need to do once. Once we receive your submission, we will promptly send you a draft invoice/quote in PDF for you to review and approve. Billing Address First Name * Last Name * Company/Agency Needed if the order will be placed on behalf of the entity. Street * Street 2 City * State * AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY Zipcode * What is your best telephone number for carrier delivery issues? * What is the best email address to send you the draft invoice and tracking? * Confirm What is the best email address to send you the draft invoice and tracking? * If your item is being sent electronically, we need only your billing address. Shipping/Pickup Preference * Please ship any product(s) to me I'm local. I will pick up the product(s) Is your Shipping Address the same as your Billing Address? * Same Address Shipping Address is Different Shipping Address Shipping Street * Shipping Street 2 Shipping City * Shipping State * AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY Shipping Zipcode * Please enter the county of your shipping address * For electronic orders, or where billing and shipping addresses are the same, please indicate the county of the billing address. Is your shipping address classified by carriers as residential or business? * ResidentialBusiness Preferred Payment Method Due to our pricing and the time we invest in service and support, our margins do not allow us to absorb payment fees. We ask you to assist us with a portion of some of the convenience fees. There are also a number of ways to pay with NO FEE. So please take a look below and tell us which is your preferred payment method. You are the customer, so the choice is yours: For Credit Card purchases, we send you a link to a secure site to pay online and we pay up to 1% on your behalf. Payment options are: Credit Card - Personal VISA/MC/DISC 2% Credit Card - Corporate or Rewards 3% Credit Card - AMEX 3.5% Credit Card - Int'l - we do not accept international credit cards Paypal Invoice - Domestic 3.5%/International 4.5% (we will send an invoice Paypal request after you approve the draft invoice) Paypal Friends & Family NO FEE (must have a connected bank account or Paypal balance, specifically make sure the default GOODS AND SERVICES or PURCHASE PROTECTION is not selected) Purchase Order - NO FEE (for qualified government entities and businesses) Cash App - NO FEE Pop Money/Bill Pay - NO FEE Zelle - NO FEE Check by Phone (ACH) - NO FEE Bank Transfer or ACH - NO FEE (we can also initiate to you with a picture of your check) Wire Transfer - $15 for incoming Domestic or International Bank/Cashier's Check/Money Order - NO FEE (you can send a picture of the check with tracking and it will not delay your order) Wire Transfer - ($15 incoming fee, must be in USD and all sending fees prepaid) Personal Checks - NO FEE (but will take 7-10 days to clear) Please indicate your preferred payment method. * Credit Card - Personal VISA/MC/DISC 2%Credit Card - Corporate or Rewards 3%Credit Card - AMEX 3.5%Paypal Invoice - Domestic 3.5%/International 4.5% (we will send an invoice Paypal request after you approve the draft invoice)Paypal Friends & FamilyPurchase OrderCash AppPop Money/Bill PayZelleCheck by Phone (ACH)Bank Transfer or ACHWire TransferBank/Cashier's Check/Money OrderWire TransferPersonal Checks If you are using Paypal for payment, and we are sending a Paypal Invoice, what is your registered email address with Paypal for payments? Your shipping address MUST BE A CONFIRMED ADDRESS WITH PAYPAL. Your shipping address MUST BE A CONFIRMED ADDRESS WITH PAYPAL. If you are paying via Paypal Friends and Family, we will send you instructions on the process. Email for PayPal Invoice * Confirm Email for PayPal Invoice * What are you ordering? Describe item, specify quantity, and include any confirmed part numbers if you have them. * If you are purchasing a new radio, we would like to provide you with a complimentary Motorola logo gift. Please indicate your preference: Gel pen Mouse pad No thank you - no gift necessary Do you need programming assistance for your product(s)? Yes, I do. No, I do not need assistance Please explain the type of assistance you need. 0 of 200 max words Unless otherwise agreed, we require a signature and insurance on all packages, especially high value items. If you are human, leave this field blank. Submit