Credit Card Inquiries / Orders

Please complete the following form to make a Credit Card Inquiry. An AVX Sales Representative will contact you once the form has been submitted. Please Note: AVX accepts orders from the US, Canada and Mexico. We can only accept Visa and MasterCard payments at this time. Additionally, all orders and payments MUST be in US dollars.

All orders are Non Cancelable/Non Returnable (NCNR) and not for resale.
First Name:*
Middle Initial:
Last Name:*
Phone:*
Email:*
Credit Card Billing Address:
Credit Card Billing Name (As it appears on Credit Card):*
Credit Card Billing Address 1:*
Credit Card Billing Address 2:
Credit Card Billing City:*
Credit Card Billing State:*
Credit Card Billing Province (Non US):
Credit Card Billing Country:*
Credit Card Billing Postal Code:*
Shipping Address:
Shipping Name:
Shipping Address 1:
Shipping Address 2:
Shipping City:
Shipping State:
Province (Non US):
Shipping Country:
Shipping Postal Code:
Shipping Method:*
I would like to order the following:
Part Number / Description:*
Quantity:*
 
An AVX Sales Professional will contact you shortly regarding your order. Thank you!

Quotes must be submitted online using the form above. Once you have received your quote and
accepted the AVX Terms & Conditions, you may place your order via telephone by calling:
the number provided on the email attached to your quote.

We Accept:
Credit Cards Accepted
DO NOT submit your credit card information (ie. Number, Expire Date, CCV) directly through this form. Wait until you receive a quote, then provide your card information via telephone.