secure order form
Secure order form
(Use for credit / debit / purchasing card, open account, or C.O.D. orders)
Company name:*
Your name:
Title/Position :*

Name on credit card (If different than above):

Open account or credit/purchasing card billing address:
(If your shipping address is different from your billing address then complete the 'Ship To' section below.)
Billing street address:
Mail stop (If required):
City:
State: (if MD see note a)
Zip:
Country (Only if not USA):
Is your 'ship to' address a residence?  Note: Some carriers charge extra for residential delivery.
Yes    No
Your purchase order number or reference number (If required)*:

Method of payment? Select your choice:

Maryland Metrics open account customers: If you know your customer
account number then please insert it into the 'enter your order' block below
Click here for wire transfer bank information:

Credit / Debit / Purchasing card issuer:

Credit card number:
Expiration Date (Mo/Yr):
C V V 2 number
Click here for the 'C V V 2' explanation:

Phone number:
Extension no.: *
Fax number: *
(We can only acknowledge your order or info request by e-mail if you have listed an e-mail address.)
E-mail address:

Your web page address ( URL)*:
* OPTIONAL RESPONSE

How would you like to be contacted?
Change as necessary

What type of customer are you?
Change as necessary

Please note that we have a $25.00 minimum order with a $1.00 per line minimum.
Some product lines will have higher minimum order requirements.

We accept Open account, Visa, Mastercard, Amex, and Discover; or you may select C.O.D.**
Optionally, you may apply for an open account if you do not currently have one.

If you have more items than will fit on the preset item lines below. then just copy and paste more item lines
within the area below. There is unlimited space available.
  Click here for a copy and paste tutorial:


**(extra charge for C.O.D. fee.      C.O.D. service currently available to USA and Canadian customers only)

Were any of the items that are being ordered previously quoted to you? If yes, then please advise the details in the block below.

  (Note: a) Shipments to addresses NOT in Maryland are automatically exempt from MD state sales tax.
  Please answer the following question ONLY if this order is being shipped to a MD address.
  Is this purchase exempt from MD state sales tax Yes (If yes, see scrollable text box above)   No

Please select a delivery method below. Shipping charges for the selected shipping carrier
will be added to your invoice or billed to your company if you have selected that choice from 'Delivery options'.
How would you like your order to be shipped?

*** not available for all countries.    Click for a UPS ground service delivery map

Delivery options as necessary:

*** not available for all countries

Ship to address: (If different than billing address)
Ship to Company name:*
Ship to street address:
Mail stop (If required):
City:
State: (if MD see note a)
Zip:
Country (Only if not USA):
Is your 'ship to' address a residence?  Note: Some carriers charge extra for residential delivery.
Yes    No



Please do NOT press the 'SEND' button more than once.
Please be patient after pressing the 'SEND' button. It may take a short while before your submission is acknowledged.


Please note that when you see the "Thank You For Filling Out This Form"
message, there will NOT be any data actually displayed for security reasons.
You should receive an e-mail 'Thank you' acknowledgement about your order on the same day you place an order.
Phones: (800) 638-1830 or (410) 358-3130 are available Monday-Friday 8:30 AM to 5:30 PM Eastern time.
Faxes: (800) 872-9329 or (410) 358-3142 & E-mail are available anytime.
Warehouse & showroom hours are Monday-Friday 10 AM to 5:30 PM.
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