REPAIR TECHNICIAN TO YOU WITHIN 4 HOURS OF YOUR CALL FOR HELP - 788-0592

Email RCR
 

Order / Credit Card Form
1. Fill out completely WHILE ON LINE
2. Fax to: 253-276-7591

Or print this page and mail to:
RCR Imaging Product
4101 Edwards Mill Rd
Raleigh, NC 27612

 
For quicker service call
919-788-0592
1-888-444-8439 Pin 4386 Toll Free
We can handle most orders with a quick phone call

Company
First Name
Last Name
Street Address
Address2
City
State
Zip Code
Work Phone
Home Phone
FAX
E-mail

Credit Card Payment OMIT IF PAYING BY CHECK
Credit Card	AMEX      VISA     MC  (CIRCLE ONE)
Name of Card
Billing Address
Billing Zip
Card Number
Expiration Date	mm/yyyy
QTY	MAKE                           MODEL	COST	Ext. Cost
	SMALL ORDER FEE (UNDER $25) add $5.00
	NC Sales Tax
	FREE SHIPPING ON ORDERS OF $200 OR MORE
	Total

on all orders over $200.00
SPECIALS
NOT INCLUDED

(Sorry, We can not ship to PO Boxes)

We Accept