Page 110 of AES Ham Radio Catalog by AES Amateur Electronic Supply

$ LINE 1 TRADE-IN Allowance (if any) Enclose mail quotation or reference telephone quote list Trade-in items on line provided below. IMPORTANT! Persons having a Trade-in must check one of the following: (Also, see more important information on previous page and on Policies page.) o Hold this order until you receive and approve my trade-in. o Payment in-full enclosed. Refund allowance when my trade-in is received and approved. o Charge the FULL AMOUNT of my order to my Charge Card and Credit my trade-in allowance when my trade-in is received and approved. LINE 2 Shipping Charges We ship via best ground method at flat-rate shown on next page, except to APO/FPO made via Priority Mail. + For Faster Service select one of the following: (These methods are not flat-rated so allow for increased shipping charges no flat-rate credit.) p UPS Next Day Air (Red) p 2nd Day Air (Blue) p 3-Day Select (Orange) p Fed Ex p Fed Ex Home p Express Mail p Priority Mail LINE 3 Sales Tax: q WI- 5.6%, q FL- 6.5%, q NV- 7.75%, q OH- 6.25% For Ohio Nevada figure tax before subtracting trade-in allowance + LINE 4 Credits: AES Refund Checks, Gift Certificates or Manufacturers Coupons (if any) - LINE 5 Balance $ LINE 6 Due AES from previous order (if any) + Choose payment method from below: (Fill in information at right, if applicable) p Bank transfer p Certified check p Personal check p Money order $ p Credit card (VISA, MasterCard, Discover, American Express, IMPAC) p COD $8.50 fee per package. Money Order or Certified Check Only. MINIMUM $20.00 COD ORDER NO AIR OR PARCEL POST CODs - QTY. MANUFACTURER PART OR MODEL DESCRIPTION PRICE EACH TOTAL TOTAL AMOUNT OF ORDER TOTAL AMOUNT DUE AMOUNT ENCLOSED BALANCE DUE (IF ANY) CREDIT CARD INFORMATION Account Number Cardholders Name CARD EXPIRES Cardholders Signature Date Shipping Charges are taxable in WI, FL, NV OH AMATEUR ELECTRONIC SUPPLY 5710 W. Good Hope Road Milwaukee, WI 53223 Local: (414) 358-0333 Toll Free: 1-800-558-0411 24-hour FAX: (414) 358-3337 On-line: www.aesham.com E-Mail: info@aesham.com We accept I.M.P.A.C. Government Credit Cards BANK TRANSFER INFORMATION M I Marshall Ilsley Bank, 770 North Water Street, Milwaukee, WI 53202 ABA #075000051. Credit to account #00244-15017 in the name of Amateur Electronic Supply. Swiftcode: MARLUS44. Make sure to include the name under which the order was submitted. Salespersons Name __________________________________________________________________ Account No. Date ____________________ Name Call ____________________ Address ____________________________________________________________________________ City/State Zip ____________________ E-Mail Address: _______________________________Fax: _________._________________________ Phone No. (Home) Hours: _________________ Phone No. (Work) Hours: _________________ SHIP TO (If other than at left): _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ IF YOU HAVE MOVED since your last order, please show your old address: _____________________________________________________________________ _____________________________________________________________________ ( ) DO NOT MAIL CURRENCY. Send bank check or money order. Personal check may delay shipping until it clears our bank. Attach remittance to top of order blank. $ ORDER FORM 134 Order Toll Free at 4 Locations Nation-Wide 1-800-558-0411 WI Browse Our Store On-Line at www.aesham.com AES

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