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2015_KurtzBros_Catalog

Order Form Bill To: 400 Reed Street P.O. Box 392 Clearfield, PA 16830-0392 Phone: 800-252-3811 Fax: 814-765-8690 School / Institution / Other Address City County State Zip Code Phone Number Purchase Order Number: Date: Ship To: Total for Above Items Total from Other Side Sub-Total Shipping (see chart) Excludes furniture & equipment items. Applicable Sales Tax PA, NY, OH, MD and VA Residents (Shipping charges are taxable in PA, NY & OH only). Total Order Thank you for your order! Code No. (5 Digit No.) In case the item you ordered is unavailable, would you prefer us to: Backorder Substitute Cancel Signature of Authorized Buyer Shipping & Handling Charges Please use this chart to calculate shipping and handling charges on orders for supplies. On orders for Furniture and Equipment, (Pgs. 640-849), Moist Clay, items specifically marked “F.O.B. Shipping Point”, and orders for shipment outside the continuous U.S., the freight charges will be prepaid and added to your invoice. Pre-order freight charge estimates are available on request. Also, should you require inside delivery, expedited delivery, or any other special service, the actual transportation cost will be added to your invoice. Bill to Account Payment Enclosed Overpayment will be refunded, balance due will be billed. Charge to: VISA MasterCard Net Order Shipping & Value Handling Charges Up to $75.00 $7.95 $75.01 - $100.00 $8.95 $100.01 - $125.00 $9.95 $125.01 - $150.00 $10.95 $150.01 - $199.99 $11.95 $200.00 + FREE! Expiration Date Verification Number ATTN: School / Institution / Other Address (Be exact - Number, Street, Highway, etc.) City State Zip Code Phone Number E-mail Address Card No. Quantity Unit Unit Price Total Amount Description Sales Tax Pennsylvania, New York, Ohio, Maryland, North Carolina and Virginia residents must add applicable sales tax or fill out and enclose a tax-exempt certificate. Orders billed to individuals may NOT use an institution's tax American Express exemption certificate. Name and address on account MUST match ‘Bill To’ above. Sub-Total


2015_KurtzBros_Catalog
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