On-Line Secure Order Form

To place an order for R.L.C. products you may use the On-Line Secure Order Form below. Or you may place your order by phone or FAX using the phone numbers listed below.

Phone: 1.805.239.9737    FAX 1.805.239.9736

All information provide will solely be used by R.L.C. Enterprises, Inc. for the purpose of processing your order. Information will be held in strict confidence and will not be used in any other manner.

Company Information:

Company Name: Required
Your Name: Required



Ship To Address:  Required
Bill To Address:  (If not same as Ship To)


California tax of 7.25% will be added to all orders shipped to California addresses unless a California resale certificate is on file with R.L.C. To get your company's resale certificate on file with R.L.C. please fax it to 805.239.9736.

Phone Number: Required
Fax Number: Required ( Only if available )
Email: Required

Payment Information:

Method Of Payment:  Required
Visa *
Mastercard *
American Express *
NET 30 - ( Only Available For Pre-Established Accounts )
Wire Transfer ( Bank Information Will Be Provided With Your Order Confirmation )

* The Following Information Must Be Provided If You Are Using A Credit Card
Card Number:
Card Holder Name:
Expiration Date: ( month/year )
CCV Code: (What's This?)

Purchasing Information:

List Of Items To Order
This form is not a shopping cart. You are required to enter in your order information below. You can either cut and paste directly from our price sheet or manually enter in the part number. Also required is the quantity amount and price per unit (directly from our web site). Please check your order carefully. If there is a problem with your order or a discount applies, we will contact you directly. If there are no problems we will ship your order.

Part # | Quantity | Price each  
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Additional Comments Or Special Instructions:


By submitting this form you acknowledge that you have read and accepted the terms and conditions as published on our web site.


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