TRANSDUCER
ORDER FORM

Please fill out the information below. We will first need your Purchase order Number. Then the information nessesarry to bill and ship the Transducer. and last, any information you feel is pertanant.

You will recieve an acknowledgement from a real person usually within one business day. Most Transducers are shipped from stock.

The price at the bottom will be a subtotal for your order... shipping and handling are added to the subtotal. Shipping charges are set depending on where you are located.

Remember: use the TAB key to move from one field to the next, the Shift+TAB key to move back to a previous field, OR place the cursor with your mouse.


PLEASE FILL IN ALL REQUIRED FIELDS
*DENOTES FIELDS THAT ARE REQUIRED

Purchase Order No.:
*Your Name:	*
Your Position:
*Company:	*
MAIN COMPANY ADDRESS		SHIP TO ADDRESS IF DIFFERENT
*Address1:	*	Address1:
Address2:		Address2:
*City:	*
*State/Province:	*
*ZIP/Postal Code:	*	*Country:	*
*Phone Number:	*	FAX Number:
*e-mail address:	*


PRICES ARE IN US CURRENCY

Product:	Price:	Quantity:	Subtotal:
X02	$680.00		$
X03	$680.00		$
X04	$680.00		$
X06	$680.00		$
X08	$680.00		$
X10	$680.00		$
X12	$780.00		$
		SUBTOTAL	$
		SALES TAX @ 5.75%	$
	Domestic Shipping Charges; Consult factory for other than domestic.		$
		TOTAL	$

TRANSDUCERORDER FORM

TRANSDUCER
ORDER FORM