BILL TO: (Please Print/Type)
|
SHIP TO: (Please Print/Type) |
Name____________________________ Firm/School_______________________ Address__________________________ Address__________________________ City_____________________________ State_____________Zip_____________ Phone ( )______-_______Ext._______ Fax ( )______-_______Ext._______ Email____________________________ |
Name____________________________ Firm/School_______________________ Address__________________________ Address__________________________ City_____________________________ State_____________Zip_____________ Phone ( )______-_______Ext._______ Fax ( )______-_______Ext._______ Email____________________________ |
PAYMENT METHOD
We accept the following Credit Cards (check one)
__ Mastercard __ Visa __ American Express __ Discover *Sorry No C.O.D. Orders
(For Company or Personal Checks allow minimum 14 days for bank clearing before shipping.)
Expiration Date: ____ ____ / ____ ____
Signature (required) __________________________________
Stock Number |
Qty |
Description |
Price |
Total |
|||
1 |
|||||||
2 |
|||||||
3 |
|||||||
4 |
|||||||
5 |
|||||||
6 |
|||||||
7 |
|||||||
8 |
|||||||
MerchandiseTotal | |||||||
Shipping & Handling | |||||||
Subtotal | |||||||
Texas Destinations Add Applicable Sales Tax | |||||||
|
Total Amount |
Call for 2nd day delivery and overnight rates.
For Orders Totaling |
UPS Ground |
Up to -----$ 50.00 |
$ 7.75 |
$ 50.01 to $ 75.00 |
$ 9.75 |
$ 75.01 to $100.00 |
$11.75 |
$100.01 to $200.00 |
$14.05 |
$200.01 to $300.00 |
$16.55 |
$300.01 to $400.00 |
$18.55 |
$400.01 to $500.00 |
$20.55 |
Note: This shipping schedule does NOT apply to Astronomical Telescopes and Accessories. |
Analytical Scientific, Ltd., 11049 Bandera Rd. San Antonio, Texas 78250 |
Phone: 210-684-7373 | Fax: 210-520-3344 | www.analyticalsci.com | sales@analyticalsci.com |