RF Parts Company Payment Form

Use this form if you have already submitted an order and only need to set up payment arrangements. If you have not submitted an order and wish to do so, please use the U.S. Order Form or the Export Order Form. This is to ensure that we receive all the necessary information to complete your order.

1.

Select one of the following two options:

I am resubmitting payment information

I am paying for a new order submitted by phone or e-mail

Shipping Information:

Name
Company
Address

Please check here if this is a residential address: Yes UPS requires this information for shipping.
City
State
Zip Code
Country
Telephone
E-mail

2.

Select method of payment:

Paypal

Before making payment, please wait for confirmation of the total amount due from RF Parts Company. You will receive an e-mail for a Money Request, that will include your shipping charges. After confirmation is received go to www.paypal.com to make your payment. If you do not have a PayPal account, your confirmation e-mail will give you instructions on how to make your payment.

E-mail address:
	(Please make sure this is the address where you would like to receive confirmation and an invoice.)

Credit Card

Complete Card information:
Card Type
Name on Card
Credit Card Number
Expiration Date
Card ID Number
	Card ID number placement show below for Mastercard & Visa. American Express ID is a four-digit number, on the front of the card.
	Please check this box if your Credit Card was issued outside the U.S. Credit Cards issued outside the U.S. must follow these procedures.

3.

Please enter any additional instructions or information here:

Price and availability subject to change without notice.

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Information may not be duplicated, re-written, broadcast or re-transmitted
in any form without the express written consent of RF Parts Company.

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