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Shellspen
Suspension System (SSS-AA)
Printable Order Form*
*Print, Fill out, then fax or mail to
Shellspen. We'll
contact you to qualify your order.
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Quantity |
Catalog# |
Description |
Unit |
Amount |
|
__________ |
Small 1 SSS-AA Suspension Kit |
To
be used with Small 1 SS/R Complete Kit (ordered separately
from Remet corp.) |
$37.00 |
$_________ |
|
__________ |
Medium 2 SSS-AA Suspension Kit |
To
be used with Medium 2 SS/R Complete Kit (ordered separately
from Remet corp.) |
$74.00 |
$_________ |
|
__________ |
Large 3 SSS-AA Suspension Kit |
To
be used with Large 3 SS/R Complete Kit (ordered separately
from Remet corp.) |
$111.00 |
$_________ |
|
__________ |
X-Large 6 SSS-AA Suspension Kit |
To
be used with X-Large 4 SS/R Complete Kit (ordered separately
from Remet corp.) |
$222.00 |
$_________ |
|
__________ |
SSS-AA
Shellspen Suspension System (used to suspend 5 gallons of
slurry) |
To
be used with your own base supplies. *Call, fax, or email us
anytime to ask us how easily it works with your own base
supplies. |
$37.00 each
(1 to 11
SSS-AA Kits )
|
$_________ |
|
__________ |
|
|
$36.00 each
(12 or more SSS-AA kits)
|
$_________ |
| Shipping and tax (if applicable) will be added to
your order. Call, fax, or email for shipping rate for all
pre-paid orders. All International orders require
prepayment. |
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Total |
$_________ |
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Or
Or
Or
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Checks and payments can be sent to our mailing address or,
You can pay with a credit card: VISA, DISCOVERY, M/C, AM/EX, ECheck,
or checking account through
http://www.paypal.com payable to
shellspen@shellspen.com.
*Please email or call us first for a shipping rate, when paying through
PayPal.
Use PayPal to send payments in U.S. Dollars, Canadian Dollars,
Euros, Pounds Sterling, and Yen.
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From: |
Purchase Order #: |
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Company/School: |
Ship
To: |
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Mailing Address:
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Shipping Address:
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City/State/Zip: |
City/State/Zip: |
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Country: |
Country: |
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Special Instructions:
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Special Instructions:
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Contact Person:
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Contact Person: |
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Phone#: |
Phone#:
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Fax#: |
Fax#: |
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Email: |
Email:
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University or College Purchase Order:
Payment Enclosed (
) Yes ( ) No
On Account Order (
) Yes ( ) No
Account Number:
Credit References Included
( ) Yes ( ) No
(Credit approval takes 2-3 days)
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