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Placing an order with PC Instruments is easy. First of all, please review the Price List and the Terms. Then fill out the form below. If you are using a credit card, you can either fill in the credit card information on the form, or you can Fax (1-785-856-8701) the credit card information to us. After we have reviewed your order, we will Fax a confirming Order Acknowledgement including the complete purchase price and anticipated shipment date.


Name:
Job Title:
Company:
Address:
Address 2:
City:
State/Province:
ZIP/Mail Code:
Country:
Phone:
Fax:
E-mail:

List the Quantity and Model Numbers of the products you wish to purchase. To make this easier, you can copy and paste the model numbers and descriptions directly from our Price List:

Qty.

Product Number

Purchase Order or Reference number:

Card Type
Visa MasterCard American Express

Credit Card Number

Expiration Date
Month| Year

Name on Credit Card:

Ship To address:

Bill To address:

Quote Number (optional):



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PC Instruments, Inc. • Lawrence, Kansas 66047 USA • (785) 856-8700