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Ordered from: Ship to:
Integrated Barcode Technology
10015 Old Columbia Road
Suite B-215
Columbia, MD 21046
Ship to will be the same as bill to


Purchase Order Number:
Bill to address:
 
 
 
Terms:
Net 30
Credit Card:
Expiration Date Month:
  Year: ex. 01, 02....
Carrier/freight:
UPS
UPS 1 day
UPS 2 day
UPS 3 day
FedX
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Product to be serviced
Serial number
Qty
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Product sent to IBT on what date?
 ex. mm/dd/yyyy
Turnaround time requested
 
 
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Service Inquiries Email:  -  Sales Inquiries Email:
10015 Old Columbia Rd., Suite B-215 Columbia, MD 21046
 Toll-Free: 1(800) 996-3101    Phone: (301) 596-7500    Fax: 301-596-2127
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