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Credit Application Form

Please follow these steps:

1. Fill out, print, and sign the credit form.

Credit Application Form

2. Mail or fax your form to:

Elliott Electronic Supply
1301 S. Tyndall Ave.
Tucson, AZ 85713

Fax: (520)884-7398


Arizona State Tax Exemption Form 5000

If you are requesting a sales tax exemption and are in Arizona, you must complete the
Arizona Sales Tax Exemption Form 5000

RMA Request

If you are requesting a return, you must complete the
RMA Request Form


Credit Card Authorization

For Credit Card authorization, please complete and return the
Credit Card Authorization Form