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Contact Information
* First Name
* Last Name
* Occupation/Job Title
* E-mail Address
* Phone Number (+ ext.)
Fax Number
Billing Information (where your billing statements are sent)
* Company Name
*Are you currently a customer of Steven Engineering? Yes No Not Sure
Account Number
Attention Line
* Street Address 1
Street Address 2
* City
* State / Prov
* Zip/Postal Code
* Country
Shipping Information (where orders are to be sent) Check here if the Bill To address is the same as the Ship To address.
  Shipping and handling costs on orders will be determined at the time of shipment. Steven Engineering will make every effort to ship orders by your specified carrier and time of arrival. Please provide us with a street address as we cannot ship to P.O. boxes.
* Attention Line
* Company Name
* Street Address 1
Street Address 2
* City
* State / Prov
* Zip/Postal Code
* Country
* Phone Number (+ ext.)
Fax Number
Is this "Ship To" address a residence? Yes No
Method of Billing Shipping Charge UPS Prepaid & Add
Third Party Billing
Freight Collect
UPS Consignment
Customer Pick Up
  C.O.D. orders can only be shipped using UPS Prepaid and Add.
Method of Shipping
UPS Account Number
FedEx Account Number
  For orders not being shipped by UPS or FedEx, please provide us with the information below:
Your Specified Carrier
Your Account Number
Carrier's Phone Number
Payment Method
  Companies doing business in California or Nevada without a resale certificate number will be charged sales tax. To be exempted from sales tax, please obtain a California or Nevada resale card in PDF format now. Fill out and fax it to us at (650) 583-7210. Orders for resale are subject to verification by checking your signed resale certificate on file with us.
Status Resale    Taxable
CA Resale Certificate Number
NV Resale Certificate Number
* Method of Payment
  To open an account with Steven Engineering, obtain a credit application by clicking here. Fax your completed application to us at (650) 583-7210. Steven Engineering will treat the faxed copy of your credit application as an original.
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230 Ryan Way · South San Francisco · California · 94080-6308
Toll Free Phone: (800) 258-9200 · Toll Free Fax: (888) 258-9200
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