Form 2333 X - Supplemental Order For Spec Page 2
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1
2INSTRUCTIONS
Return to Form
Supplemental Order for SPEC
When ordering please follow the instructions listed below (orders may be shipped in multiple
shipments).
Send completed Form 2333 X to:
*ndc.spec.orders@irs.gov
for processing.
Date (Required) - Enter in the date (MM/DD/YYYY format) or select from the
Box 1
drop-down calendar.
Box 2
Contact name (Required) - Enter the name of the person receiving the order.
Box 3
Telephone number (Required) - Enter the 10-digit telephone number
(ex: (555) 111-1111) and extension if applicable of the person receiving the order.
Box 4
Organization (Required) - Enter your organization name, building, room number
and floor.
Box 5
Shipping address (Required) - Enter your complete street address or PO Box
(ex: PO Box 123, 1234 Main St, Ste. 5).
Box 6
City (Required) - Enter your city.
Box 7
State (Required) - Enter your 2-letter state identifier.
Box 8
Zip code (Required) - Enter your zip code.
SPEC use only.
Box 9
Order point number (Required) - Enter your Order Point Number (five digits).
Box 10
SPEC contact person (Required) - Enter your first and last name.
Box 11
SPEC contact’s phone number (Required) - Enter your 10-digit telephone number
number (ex: (555) 111-1111) and extension if applicable.
Box 12
SPEC contact’s email address (Required) - Enter your e-mail address.
Box 13
Alternate SPEC contact name (Required) - Enter alternate contact name.
Box 14
Alternate SPEC telephone number (Required) - Enter alternate’s 10-digit telephone
number (ex: (555) 111-1111) and extension if applicable.
Only products NOT listed on the F 2333 TE or F 2333 V will be processed on this order form.
*
2333 X
Catalog Number 11754L
Form
(Rev. 9-2012)
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