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.