SonoBat Order Form

 

Copy this page into a text editor, complete, and email to: sales@sonobat.com

 

or mail with check (or Purchase Order #) to:    

 

SonoBat

315 Park Ave

Arcata, CA 95521

USA

 

Name: _____________________________________________________

 

Institution: __________________________________________________

 

Address: ___________________________________________________

 

Town: _____________________________________________________

 

State/Province: _________________Postal Code:___________________

 

Country: _______________________

 

Phone: ________________________

 

Email: _______________________________

 

Shipping address (if different than above):

 

 

Name: _____________________________________________________

 

Institution: __________________________________________________

 

Address: ___________________________________________________

 

Town: _____________________________________________________

 

State/Province: _________________Postal Code:___________________

 

Country: _______________________

 

Phone: ________________________

 

Email: _______________________________

 

Payment method:    ______  check        

______  Purchase Order; PO # _________________

 

Shipping method:    ______  regular mail (no charge)

                                    ______  expedited ($20)  

 

Qty                              Description                                                   Unit Price         Total

 

____   _______________________________________     ________            _________

 

____   _______________________________________     ________            _________

 

____   _______________________________________     ________            _________

 

____   _______________________________________     ________            _________

 

 

                                                                                                            Subtotal         _________

 

                                                                                                            Tax (CA)         _________

 

                                                                                                            Shipping        _________

 

                                                                                                            Balance Due _________