| First Name | Last Name |
| Organization | |
| Mailing Address | Orders are sent by US Mail |
| City | State/Province Zip/Postal Code |
| Work Phone | FAX |
| @ |
|
BILLING |
|
|
Credit Card |
We accept Visa and MasterCard only! |
| Cardholder Name | |
| Card Number | --- Expiration Date - |
|
NOTE |
|
| If different than Mailing Address | Billing Address of Credit Card
holder Billing Zip of Credit Card holder |
Please provide the following ordering information:
|
QTY |
DESCRIPTION | PRICE - Each | Weight pounds |
| 201 - M-E-D Adapt-A-Stat | $70.00 | .5 | |
| 220 - Firedragon FB Filter Adapter | $10.00 | .5 | |
| 221 - Firedragon 1A25A Filter Adapter | $5.00 | .5 | |
| 222 - Firedragon 2A700 Filter Adapter | $6.00 | .5 | |
| 233 - Floating Suction Pickup | $70.00 | 1.5 | |
|
Total of Parts $ |
|||
|
Total Weight |
|||
|
S & H Charges $ |
|||
|
TOTAL $ |
The following Shipping & Handling Charges will apply to all orders effective October 1, 2008.
| Weight (Total Package) |
Cost for total package |
| 0 to 2 pounds | $6.00 |
| 2 to 4 pounds | $10.00 |
| 4 to 6 pounds | $14.00 |
| 6 to 8 pounds | $16.00 |
| 8 to 10 pounds | $18.00 |
| 10 to 14 pounds | $23.00 |
| 14 to 18 pounds | $25.00 |
| over 18 pounds | Please call us |
You will receive a credit card slip with your order.
We do not invoice.
We do accept checks and money orders.
All parts pricing is in US Funds.
Tool pricing includes USPS Priority Mail shipping!
Please allow 1-6 weeks for delivery.
We accept part orders from the US only due to postal regulations.
Orders to Alaska will have a
$5.00 surcharge added.
Submittal of this order assures
that buyer is aware that all of the material is for use by a properly
qualified and if required licensed person.
Read our store policy by clicking here.