To Order your Digital Name Tag:

1. Fill out this form completely
2. Fax to CTE at (562) 683-2874 or mail to the address listed below
3. Customer Service is our top priority. We will personally confirm your order via phone or email within 24 hours on weekdays.
4. Questions?
5. If ordering over 10 units, please contact us with your individual requirements for a discounted price.
6. Resellers, we are happy to work with you! Quantity discounts are available. Please contact us with your requirements.

Customer Name ______________________________________________________________________

Shipping Address ___________________________________________Residential or Business? _____

City, State, Zip _______________________________________________________________________

Phone ________________________ Fax ____________________ Email ________________________

Shipping Preference: Next Day Air, Two Day Air, or Ground ____________________________________

Notes ______________________________________________________________________________

Digital Name Tag Order

Quantity	Item	Each	Total
Turbo USB Model – Stores 8 messages at one time
	Turbo USB Model Digital Name Tag Kit. RED Includes Digital Name Tag, PC Software, Cable.	39.95
	Spare Batteries	.99
Professional IR Series Digital Name Tags – Higher Resolution Display
	Keychain Programming Module (stores 4 messages)	49.00
	Spare Batteries	.99
JR Digital Name Tags – not compatible with the Professional Series
	JR Digital Name Kit (Digital Name Tag, Cable, Software to program Tag with your PC) RED Display Color	49.95
	JR Digital Name Kit (Digital Name Tag, Cable, Software to program Tag with your PC) YELLOW Display Color. Minimum order quantity 2.	49.95
	JR Digital Name Kit (Digital Name Tag, Cable, Software to program Tag with your PC) GREEN Display Color. Minimum order quantity 2.	49.95
	Spare Batteries	.99
		Subtotal
		Tax
		Shipping
		Total

Don’t forget extra batteries!

Sales Tax(if applicable) and Shipping will be added to the order Subtotal

Billing information

Payment Method ____ Visa ____ MasterCard

Credit Card Number _____________________________________________________

Exp __________________________________ 3 Digit Security Code ______________

Card Holder Name ______________________________________________________

Card Holder Address ____________________________________________________

Card Holder City, State, Zip _______________________________________________

Cardholder acknowledges receipt of goods and/or services in the amount of the Total Balance, Tax, and Shipping and agrees to perform the obligations set forth in the Cardholder’s agreement with the Issuer.

____________________________________________ _________________________

Customer Signature Date