Product Order Request Form

Please fill this form out completely to ensure proper support and minimize response times.

Placing an Order

Contact Information

Please put your name in this field if there is no attached company.
Order Information

Type in part number starting with "MB" to find parts more quickly.

Subject to MaxBotix lead times and availability of the selected sensors.
Please visit our Sensor Selection Guide for help finding the right sensor. CLICK HERE
Billing Address
Shipping Address
Delivery Information

Please print and complete this credit card form, and then fax the form to (888)380-3977.
Do NOT email the credit card form. [Link]
Alternatively, you can call us at 1-218-454-0766 with your credit card number.

If chosen on an order over $500, the cheapest UPS shipping method will be selected to ship your package.

If UPS Express is not available to your location, UPS Worldwide Express Saver will be chosen instead.

If DHL is chosen, you must supply your DHL account number or we will be unable to process your order.