FBC ORDER FORM

$15.00 min for orders in the USA, $35.00 min. for orders outside the USA .
To place an order please complete form then print to your printer. 

Name:          Date: 
Organization: 
Address:      
City:         
State/Prov:   
Zip Code:  
Country:      
Phone:          Fax: 
E-mail:       
Web adress:   PO #

PARTS ORDERED

Qty.   Partnumber    Description                      Price each   Total





Subtotal         $: 
Shipping         $: 
Taxable Subtotal $: 
Residents of Florida:  add 6.5% state sales tax.
Total Sales Tax  $: 
Order Total      $: 

Please select:
 Payment Type:   


Use PayPal.com for Visa/Master card credit cards, use E-mail address below.
All out of state checks  need a min. of 3 day clearing period.
All orders unless specified must include $10.00 min. for shipping 3 day -
 priority mail for less than 2 lbs. 
If special shipping is required sufficent funds must be included.
Fax to: (561) 575-1487, or mail to address below with payment.

Future-Bot Components

1640 Cypress Drive Unit 14, Jupiter, FL. 33458. Phone/Fax: (561) 575-1487
Web Site: futurebots.com, E-mail: fuboco@futurebots.com