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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 and are not for resale.
 
Required fields are marked with an asterisk (*).
First Name:* Middle Initial
Last Name:*
Phone:* Email:*
Company:
CREDIT CARD BILLING ADDRESS:
Credit Card Billing Name (as it appears on Credit Card):*
Credit Card Billing Address One:*
Credit Card Billing Address Two:
Credit Card Billing City:*
Credit Card Billing State (US):* Credit Card Billing Province (Non US):*
Credit Card Billing Country:*
Credit Card Billing Postal Code:*
SHIPPING ADDRESS:
 Click Here if Shipping Address is the same as Billing Address.
Shipping Name:*
Shipping Address One:*
Shipping Address Two:
Shipping City:*
Shipping State (US):* Shipping Province (Non US):*
Shipping Country:*
Shipping Postal Code:* Shipping Method:*

I would like to order the following:
 
Part #/ 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: