
|
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 |