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Note:
Not all fields are required at this time, however, the more information you supply the more accurately we can determine valid options and prices for your order.
Order Name:
*
Billing Information
Price List:
Global Price List in US Dollars
Global Canadian Price List in Canadian Dollars
Billing Address
and Contact:
*
Pipex
2004 San Marcos Dr.
Austin, TX 76702
USA
Change Address...
Cindy Meyers
cmeyers@pipex.com
Ph: +1 512 123 9999
Fax:
+1 512 123 8888
Change Contact...
Shipping Information
Shipping Address
Pipex
2004 San Marcos Dr.
Austin, TX 76702
USA
Change Address...
Cindy Meyers
cmeyers@pipex.com
Ph: +1 512 123 9999
Fax:
+1 512 123 8888
Change Contact...
End-Customer Information
End-Customer Address
RoutoMead, Inc
3424 San Miguel Dr.
Austin, TX 76702
USA
Change Address...
Sally Jones
sjones@routomead.com
Ph: +1 512 123 4567
Fax:
+1 512 123 7654
Change Contact...
