ToolsForAnalysis.com

Precision Analytical Instruments, Inc.
10857 Millington Court
Blue Ash, OH  45242
bus: 513-984-1600
fax: 513-984-4090
Orders@ToolsForAnalysis


Fax and Mail Order Form
BILL TO:
  [   ] Same as Bill To                SHIP TO:
 NAME:
 NAME:
 ADDRESS 1:
 ADDRESS 1:
 ADDRESS 2:
 ADDRESS 2:
 CITY:                                                                                STATE:                  ZIP:
 CITY:                                                                                     STATE:                  ZIP:
 PHONE:
 PHONE:
 EMAIL:
 EMAIL:

ORDER
Quantity
Item Description
Each
Amount

   Precision Grip Gauge PGG-101
$379.00


   2 or more Precision Grip Gauges
$349.00


   Precision Ball Compass Kit
$59.00


   Precision Adjustable Compass Kit
$79.00



SUBTOTAL


SHIPPING OPTIONS                           Handling
$5.00
  UPS      [  ] Ground (free!)     [  ] 3 Day Select     [  ] 2nd Day Air     [  ] Next Day Air

Federal Express:                            

           (If you do not know the cost to ship to your zip code, leave blank                                  USPS:                            
 and we wil add the cost to your order. Assume 2# per gauge.)                                 SHIPPING SUBTOTAL  

Ohio residents add 6% sales tax

ORDER TOTAL


PAYMENT OPTIONS
  [   ]  Payment Enclosed (Check or money order in U.S. funds only, Please do not send cash.)
  [   ]  Please Bill Me (Items shipped upon receipt of funds.)
  [   ]  Please Charge My Credit Card
  (Your 'Bill To' address must match your credit card billing address)             [  ]          [  ]          [  ]          [  ]

  CARD#:                                                                                                       EXP. DATE:                                SECURITY CODE:                        


  CARDHOLDER SIGNATURE:                                                                                                                       DATE: