Ordering Batteries

Thank you for ordering from CapTech

Your full name:
Your email address: (e.g.: [email protected])

Your company:

Your phone number (with country, city, area codes):

Ordering Instructions:

1. Fill in the order form above.

2. Check the box or boxes next to the battery or batteries you wish to order

3. Type in the quantity desired in the "How Many" box next to item

4. Add cost of all batteries ordered and enter amount in "Enter Total Cost" box

5. Select method of payment

6. Enter credit card information if ordering by credit card.

7. Submit credit card orders by pressing the "Send" button.

8. If paying by check or money order, use printable order form and send by mail.

9. Don't forget to include payment with order form.

Camera & Light Batteries:

Item Quan. Total

You need a Java enabled browser to see this applet.

Energizer Industrial Alkalines:

Quan. Total

You need a Java enabled browser to see this applet.

Quan. Total

You need a Java enabled browser to see this applet.

Enter Total Cost of all Items Purchased:

Payment Methods:

Payment by: * Make sure you highlight selection! (click on it)

Credit Card Number:

Expiration Date:

Name on Credit Card ( if different from above ):

To order by check or money order:

Capitol Technologies, Inc.

5414 13th St., NW

Washington, D.C. 20011

Please include your check or money order. Checks must clear before orders are filled.