Printable Order Form for Fax or Postal Mail Orders

To place your order by Fax or Postal Mail, please print out this form, fill it in completely and Fax it to: 901-888-6008 -- or Mail it along with your check or money order to: TestExpress, Inc P.O. Box 242102 Memphis, TN 38124-2102 TESTEXPRESS ORDER FORM Your Name: _________________________________________ Date _________________ Your Title: _________________________________________ Phone #: ______________ Company Name: ____________________________________ PO # __________________
Bill To:	Ship To:
Company ____________________________	Company ____________________________
Name _______________________________	Name _______________________________
Address _____________________________	Address _____________________________
____________________________________	____________________________________
City ________________________________	City ________________________________
State ________________ Zip __________	State ________________ Zip __________
If TN State, specify ___________________	If TN State, specify ___________________
Tax Exempt # ________________________	Tax Exempt # ________________________

Quantity	Item Number	Description	Unit Price	TOTAL

For Office Use Only:

Order Received By:________________________________________ Date:_________________

Thank you for purchasing from Test Express. If you have any questions,
please contact us at: fordb at testexpressinc.com

Please note the details of your order here for your reference -

Items Ordered: _________________________________________ Date Ordered: _____________