Please provide the following shipping information:

Name
Company
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
FAX
E-mail

Please provide the following product information:

Mail Machine Models

POSTLINK SM22 WJ20 IJ25 WJ60 IJ35 WJ65 IJ40 WJ90 IJ45 WJ95 IJ50 WJ110 IJ60 WJ135 IJ65 WJ150 IJ70 WJ180 IJ75 WJ185 IJ80 WJ215 IJ85 WJ220 IJ90 WJ250 IJ110 POWERPOST IM330 IS330 IM350 IS350 IM420 IS420 IM440 IS440 IM460 IS460 IM480 IS480

 

Non Mail Machine Products

Copier Fax Address Printer Folder/Inserter Tabber

Model #:

Please provide the following ordering information:

QTY	DESCRIPTION (Example:  Meter Tapes or Ink)

	PURCHASE ORDER
Purchase Order #

	BILLING INFORMATION (If different from shipping)
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code

Paying By Credit Card?  Yes No

Is credit card on file with Southern Business Machines?  Yes No

If credit card is not on file, please provide contact name and number and someone from Southern Business Machines, will contact your for information.

Contact Name:                            Phone Number: 

If credit card is on file, please provide the following information:

Visa MasterCard

Expiration Date:

Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec      2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020

Last Four Digits Of Card Number:

Name On Card: