Order Form
(You will be invoiced for your order)
 
Billing Information
Company:
Your Name:
Street:
City:
State:
Zip:
Email Address:
Phone Number:
Fax Number:
Purchase Order Number:
 
Existing Customer     New Customer
 
Shipping Information
Street:
City:
State:
Zip:
 
Probes with .50 diameter contact area (flush or top mounting)
Diameter Cost Qty Subtotal
3.00" Diam. $120/each
2.75" Diam. $120/each
2.25" Diam. $120/each
 
Probes with 1.50 diameter contact area (top mounting only)
Diameter Cost Qty Subtotal
2.25" Diam. $145/each
 
Accessories
Product Cost Qty Subtotal
Connectors$13/each
 
Sales Tax:
Shipping & Handling*:
Order Total:
 
* Some orders may require COD delivery. Customer will be responsible for COD charges in addition to those displayed above.

PO Box 194, Swarthmore, PA 19081 - (610) 449-9123

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