We accept Government & School Purchasing. Please fill in your information and submit your order.

Government and School Orders are discounted as follows:
Orders over $200 = 5% Discount
Orders over $300 = 8% Discount
Orders over $500 = 10% Discount
Orders over $800 = 13% Discount
Orders over $1,000 = 15% Discount

16029 Kaplan Ave. City of Industry, CA 9174
http://www.yespowerline.com

Tel: (626) 968-6228 Fax: (626) 968-9660 Toll Free: (800) 899-6155

Goverment or School Order

Shipping Info:

Purchase Order Number: Contact Name:

Name of Agency: Division/Department:

Phone Number: Email Address:

Shipping Address:

City, State Zip:

Payment Info:

Type of Credit Card: Name on The Credit Card:

Credit Card Number: Credit Card Expiration Date:

Billing Address:

City, State Zip:

Items You Want to Order:

Product Name Item Number Unit Price Qty.

Special Instructions: