CTS Internet Order Form
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This form is intended for customers who wish to print out a copy, fill it out, and fax or mail it to CTS. Our fax number is 952-895-8493. See our How To Order page for our mailing address. Items with an asterisk (*) are required. The full name of a customer contact person and their phone number are required for order confirmation and questions CTS may need to ask. See recommended browsers for printing tips.

Date Ordered
 
Customer Contact
*
Date Required
 
Phone#
Purchase Order#
Fax# or E-Mail
 

Credit Card:
   
  VISA      
   
  Master Card      
   
  American Express   
Card#
   
Exp. Date
   
CVV#
   
   
   
  Minnesota Taxable?

Ship Via:
   
  UPS      
   
  FedEx      
   
  DHL   
   
  Other ________________________________   
Acct#
 
  BILL TO: * SHIP TO: *
Company    
ATTN:    
Address    
     
City, State, Zip    
Phone    
Qty.* CTS P/N* Description Price Each Price Ext.
         
   

 

   
   

 

   
         
         
         
         
         
         
         
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