Ultra Systems Wholesale Fuse
Secure Order Form

HiFi-Tuning Silver/Gold Fuses

For resellers and equipment manufacturers with an established wholesale account,
Ultra Systems will apply wholesale discounts to the order.
If you need the wholesale price sheet please fill in the contact information below.

Shipping charges for wholesale orders: A flat shipping/handling charge for standard freight of $6.50 per order will apply in the Continental US. "Drop Shipments" additional $5 per order. 2nd Day Air Charges (Any quantity): $12.95, Next Day Air (Any quantity): $18.95, add an extra $10 for Saturday delivery. International freight according to destination.

 

Please enter your contact information here:

E-mail:

Company Name:

Company Contact:

Street Address:

City:

State/Province:

ZIP/Postal Code:

Country

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Fax:

 

 

Shipping Address
(if different from Contact Address)

Company Name:

Contact Name:

Street Address:

City:

State/Province:

ZIP/Postal Code:

Country

Payment Method
(If we have this information on file, no need to complete; skip to Shipping Information.)

Visa

M.C.

Amex

Discover

Diner's Club

JCB

Send Invoice, We have an established account.

Credit Card #

Expiration Date

Name as it appears on credit card

Shipping Information

UPS:

Overnight

Second Day

Overnight/Saturday

Third Day

Ground

International UPS/DHL

Mail:

US Domestic

International Airmail

Fuse Values Available:

Small size: 5x20mm (.75 inch): Retail $29.95
Fast blow ("F" Type) or Slow blow ("T" Type):

50mA, 80mA, 160mA, 100mA, 125mA, 200mA, 250mA, 315mA, 400mA, 500mA, 630mA, 800mA, 1A, 1.25A, 1.6A, 2A, 2.5A,3A, 3.15A, 4A, 5A, 6.3A, 8A, 10A, 12.5A, 15A, 16A, 20A

Large size: 6.3x32mm (1.25 inch): Retail $34.95
Fast blow ("F" Type) or Slow blow ("T" Type):

250mA, 315mA, 400mA, 500mA, 630mA, 800mA, 1A, 1.25A, 1.6A, 2A, 2.5A, 3A, 3.15A, 4A, 5A, 6.3A, 7A, 8A, 10A, 12.5A, 13A, 15A, 16A, 20A

Please fill in the following items, with the exception of the shipping and taxes, we'll take care of that. Thanks.

Small 5x20mm (.75in)
Large 6.3x32mm (1.25in)

Quantity

Value

Large or Small? Select one.

Fast or Slow?
Select one.

Total Price

Subtotal

A flat shipping/handling charge for standard freight of $6.50 per order will apply in the Continental US. "Drop Shipments" additional $5 per order. 2nd Day Air Charges (Any quantity): $12.95, Next Day Air (Any quantity): $18.95, add an extra $10 for Saturday delivery. International freight according to destination.

Shipping

Total

Comments & Special Instructions:

Thank you for placing an order with us.
Please press Place Order button to transmit your order to us.

Ultra Systems

127 Union Square, New Hope, PA 18938

800 - 724-3305 * 215-862-6570 * Fax 215-862-4871