scanserv
.com is not a secure server. Please do not submit credit card information on this order form. For credit card orders, print the order form and complete the credit card information. Mail orders to scanserv.com, c/o Jungle Lasers, 201 Main St. Allenhurst, NJ 07711. For the best service, please provide complete and accurate information. You will receive an order confirmation via email, and an account representative will contact you by phone.
Customer Information:
Company Name:
Contact Name:
Address:
City:
State:
Zip Code:
Telephone:
Email:
Payment Method:
Check
MasterCard
Visa
American Express
Discover
Return Shipping Method:
Company:
USPS - Priority
USPS - Express
UPS - Next Day Air
UPS - Second Day Air
Airborne Express - Express
Airborne Express - Next Afternoon
Airborne Express - Second Day
Federal Express - Priority Overnight
Federal Express - Standard Overnight
Federal Express - First Overnight
Federal Express - Second Day
Federal Express - Express Saver
Other:
Special Instructions (shipping ID number)
Estimated Arrival Date
Inbound Shipping Method
Select One
USPS - Priority
USPS - Express
UPS - Next Day Air
UPS - Second Day Air
Airborne Express - Express
Airborne Express - Next Afternoon
Airborne Express - Second Day
Federal Express - Priority Overnight
Federal Express - Standard Overnight
Federal Express - First Overnight
Federal Express - Second Day
Federal Express - Express Saver
Order Information:
Number of documents to be scanned:
(optional) Order Number:
(optional) Job Name:
ATTENTION
:
subscribers.You will receive a discount on services provided by
scanserv
.com. In order for us to verify your membership to
ordinance
.com you must enter your Customer ID and User Name in the spaces provided.
customerID
user name
