BILL TO: (Please Print/Type)
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SHIP TO: (Please Print/Type)
 __ Home __ Business

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._______
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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