Titan Tankless Water Heater www.TitanHeater.com Printable Order Form |
Make check
payable to: Titan Heater 14629 SW 104 St #134 Miami, FL 33186 |
Toll Free 1-888-697-8456 Click here to print form |
Product Selection Please tell us what you will be ordering today. |
||||
Qty | Item | Description | Price | Total |
N-180 | Titan SCR4 Tankless Water Heater 77 AMPS |
449.99 | ||
N-120 | Titan SCR2 Tankless Water Heater 54 AMPS |
$249.99 | ||
N-100 | Titan SCR2 Tankless Water Heater 49 AMPS |
$249.99 | ||
N-85 | Titan SCR2 Tankless Water Heater 38 AMPS |
$249.99 | ||
N-10 | Titan SCR2 Tankless Water Heater 110V |
$249.99 | ||
Subtotal | ||||
Please enter tax amount (FL residents only 7.00%) | Tax | |||
Please enter $12.50 FedEx ground Please enter $45.00 FedEx 1-2 Days Please enter $68.00 FedEx Overnight by 4:30 PM EST If you are responding to a special offer please enter code. |
Shipping | |||
Total |
Shipping Address The address where you wish to receive your order. |
|
Name | |
Address | |
Tel | |
City | State |
Zip Code | Country |
Payment Information Please tell us your preferred payment method. Place an "X" next to your selection. |
|
Check □ Money Order □ Visa □ Master Card □ Discover □ American Express □ | |
If paying by credit card, please complete the sections below. | |
Card Number | |
Expiration date | CVV (3-digit verification number on back of card) |
Billing Address The address where you receive your credit card statement. |
|
Name (As it appears on card) | |
Address | |
Tel | |
City | State |
Zip Code | Country |
Comments Please provide comments or notes about your order, if any. |
|
Signature | Date |
I accept and understand the terms. By completing and submitting this form, you verify that you have read, understand and accept our terms and conditions, and you agree to pay, as set above, the amount of this order using the payment method indicated herein. |
©2004-2007 All rights reserved. Titan Tankless Water Heater |