Atlantic Two Product Distributors

Please complete the order form. A sales representative will contact you to provide special pricing for Government purchases and complete the sale. Orders are not final until the sales representative provides pricing and receives purchasing approval. Click Here For Returns.

Can't wait to reach us. No problem, just call (561) 338-0009.

TRY BEFORE YOU BUY.

Today's Date:	-- mm/dd/yy
Your name:
Email address:
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX

Please provide the following order information:

A sales representative will contact you to provide you pricing,
purchase approval, and collect payment information

QTY	DESCRIPTION
	T4000-GOV PC Headset and PTT PC Cable ($135 retail) Click here for the Specification Sheet.* Click here to see image.
	T4000 Headset Top Only ($120 retail) Click here to see image.*
	T4000 GOV Headset and USB Cable ($130 retail) Click here to see image.*
	T3000 Monaural Headset and PTT PC Cable ($115 retail) Click here to see image.*
	T3000 Monaural Headset Top Only ($99 retail) Click here to see image.*
	T3000 Monaural Headset w/ Standard PC Cable ($110 retail) Click here to see image.*
	Earhook Headset top and PTT PC Cable ($115 retail) Click here to see image.*
	Earhook Headset top (Connects to PTT PC Cable) ($99 retail) Click here to see image.*
	Earhook Headset with Standard PC Cable ($110 retail) Click here to see image.*
	PTT PC Cable Only ($20 retail) Click here to see image.*
	USB Cable Only ($37 retail) Click here to see image*.
	* Government bulk rate available

	BILLING
Purchase Order #	Leave blank if unknown
Account Name	Leave blank if unknown

	SHIPPING (Leave blank if same as above)
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Comments/Instructions: (Use the space below to provide any
comments to Atlantic Two or the shipping company.
When ordering a test product annotate that in this space.)

How did you learn about Atlantic Two and our website?:

Word of mouth
Mailer
Magazine Advertisement
Internet Search
Return Customer
Other

Not sure if the product line is right for your organization?

No problem!
Give us a try.

Simply use the order form to request a product to test for 30 days, no sweat!

Request for one headset in the Quantity Field (QTY) and annotate in the comments that you are requesting a product to test.