®
 2002 Renaissance Boulevard #100
 King of Prussia, PA 19406-2756
 Ph. 800.633.4533 - 610.279.2002

FOUR CONVENIENT WAYS TO ORDER
1 Online www.hrdq.com
24 hours a day, 7 days a week		 3 Fax toll free 800-633-3683
24 hours a day, 7 days a week
2 Phone toll free 800-633-4533
Weekdays 9:00am-5:00pm (EST)		 4 Mail to the address shown
at left.
Bill To: Ship To:   (Street Address Required)
Name Name
Organization Organization
Address1 Address1
Address2 Address2
City/State/Zip City/State/Zip
Phone Fax Phone Fax
Email Email
 ORDER INFORMATION                                                                                            MEDIA #  NET 
CODE ITEM NAME QTY UNIT TOTAL
              
              
              
              
              

Standard Packing/Shipping Charges
Order Total Charge
.01 - $999.99 7%*
$1000.00 and above 5%

* Minimum charge $4.95
Rush Orders Must be Placed
Before 4:30pm EST. Call For Pricing
Subtotal   
Add Standard Ground Packing/Shipping Charges   
Add'l Charge for FedEx Air Service  PLEASE CALL
( 2-Day required for AK & HI )		   
PA residents add 6% sales tax   
Total Order ( US funds only )  
 PAYMENT INFORMATION
  
   ___ Check (payable to HRDQ - US funds only)
   ___ Visa
   ___ MasterCard                            ___ C.O.D. (add $6)
   ___ Amex                                   
   ___ Discover                                ___ Bill my account
   ___ Diners Club                           (complete "Bill To" and attach P.O.)
 
   Account Number: _______________________  Exp Date: _______

   Name (as it appears on card) _____________________________

   Our Client Solutions team is available to answer any questions you
   may have. Call 800-633-4533.

Taxpayer ID #23-2039609

 Payment terms are net 30 days from date of invoice. Those open beyond 30 days are subject to a 1.5% finance charge per month and/or reasonable collection fees. Invoices subsequently paid by credit card will be charged a 3.5% surcharge.
 
HRDQ reserves the right to withhold new shipments when accounts remain overdue.
 
International orders require payment by credit card. Shipping and handling charges will be added. Please specify preferred shipping method.

print this page