1. Phone orders to: (530) 243-4 ink               Print and mail  to: Ink Jet Specialties, Inc.
 ( 243-4465 )                                                                    2800 Bechelli Ln.
Toll Free order line 1-866-243-4 ink                                                               Redding, CA 96002
2. Mail orders to the address at right                 Fax (530) 243-0465  e-mail EdL@inkjetspecialties.com                                          
Ship To:
Name ___________________________  Date ___________________  

Address__________________________  City____________State ______ Zip_____________

Telephone (_____) ______________Your e-mail address________________________________
Qty.
Size
2 - 4 or
16 Oz.
Type
(Individual, Tri color, etc.)
Color
If
Individual
Compatible
Cartridge No.
Unit Price
Total

                                                 California residents add 8.25 % sales tax


Sub Total
Sales Tax
Ship & Hand.
$5.00
Total
Indicate method of payment
Check or Money Order
Visa
MasterCard
Discover
American Express
A 10 day waiting period is required on all personal and company checks
Card Number
-
-
-

                                                  Exp. Date:___________ Signature_______________________
Important! Please add Printer Information
Make &
Model____________________________________
Cartridge Name and Numbers

Name
The name that  is on the printer cartridge as well as the number, is the determining factor for the correct  ink.
 Some cartridges require pigmented ink that is slightly higher in price. Send us an e-mail so we can tell you if it's pigmented or not. We have over 100 inks in stock

Black No.
Color No.

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