MicroTAP Order Form

Your order will be processed and shipped within two business days.

Product Options:

Quantity (required)
at $349 each

Connector Shells for the monitoring computer (required)
AT (9-pin)
XT (25-pin)
One of each
Both Sets (Add $25)

Method of Payment (required)
Visa
Mastercard
Purchase Order* (subject to approval)
Wire Transfer (we will email the total and our bank information)
COD (domestic shipping only)

*Purchase Orders require hard copy and credit sheet.
FAX to: (760) 789-9533.

Purchase Order Number

Credit Card Number - - - Exp. (mm/yy)

Cardholder's Name

Shipping Options:

NOTE: These rates apply to one product (approximately 3 pounds).
Call for multiple product shipping rates.

Domestic Shipping
UPS Ground ($10.00)
UPS 2nd Day ($18.00)
UPS Next Day ($28.00)
FEDEX Priority ($35.00)
Not Applicable

Foreign Shipping
DHL to Europe (approximately $50)
DHL elsewhere (approximately $75 - $110)
Air Mail to Europe ($25)
Air Mail elsewhere ($25 - $45)
Not Applicable

Billing Address:

Name (required)

Telephone (required)

Email Address (required)

Company Name (required)

Street address (required)

City (required)

State/Province (required)
ZIP/Postal Code (required)

Country

Country Code (only necessary if your country is not listed above).
Find your country on our country code list:

Shipping Address:

CHECK HERE if the shipping address is the same as the billing address.

Name

Company Name

Street address

City

State/Province ZIP/Postal Code

Country

Country Code (only necessary if your country is not listed above).
Find your country on our country code list:

MicroTAP Order Form

Product Options:

Shipping Options:

Billing Address:

Shipping Address:

(Please click this button only once. It may take a few momentsto process your order. Thanks for your patience.)

(Please click this button only once. It may take a few moments
to process your order. Thanks for your patience.)