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Product Order Form

*Date
Project Name
*Required by
 Ordered by:
*First Name
*Last Name
*Email
*Phone
 Ship to:
*First Name
*Last Name
*Company
*Street Address
Address
Address
*City
*State/Province
 *Zip
*Country
*Email
*Phone
*Fax
 Bill to:
 

Same as shipping address above.

First Name
Last Name
Company
Street Address
Address
Address
City
State/Province
 Zip
Country
Email
Phone
Fax
 Credit card:
If you wish to pay by credit card, check the button and we will contact you for your credit card information.
 Please ship the following:
 QTY ITEM PRICE
IsoTubes (25 per box; HAZMAT shipper included) $875 per set
Extra HAZMAT shippers (holds 25 IsoTubes) $12 each
IsoTube® Gas Sampling Manifold $1100 each
IsoTube® AutoLoader™ (requires use of IsoTubes®
with RFID chip)		 CALL
IsoTubes® with RFID chip for use with IsoTube® AutoLoader™ (25 per box; HAZMAT shipper included) $950 per set
IsoTube® Wellhead Sampler $460 each
IsoTube® Septum/Valve Fitting $45 each
IsoBags™ (set of 2, evacuated, with bactericide) $30 per set
Cali-5-Bond® Bags (3 bags with shipper) $120 per set
IsoPaks™ (20 per box, includes field clips and return packaging) $150 per set

IsoPak™ Sealing Kit (impulse sealer, field-clip pliers) $200 per kit

IsoPak™ 500W Step Down Voltage Transformer for
Impulse Sealer (converts single phase 220/240V to 110/120V, accepts 3 or 2 prong US and Euro plugs)		 $50 each
IsoTrap™ $50 each
IsoTrap™ Sampler $800 each
IsoJars® (20 per box) $120 per box
Dissolved Gas Bottles (1 L w/septum cap & bactericide capsule) $12 each
LP Tanks (Please call for availability) $40 per month
Cylinders (Please call for availability) $60 per 2 months
Prices do not include shipping, duties, taxes, etc.
Shipping costs are impacted by the "required by" date furnished above.
Special Instructions


Information that you share with us is kept strictly confidential and will not be shared with third parties. Your email address will only be used by Isotech Laboratories, Inc. and will never be provided to outsiders. You will only receive emails you have subscribed to from Isotech Laboratories, Inc.

 

 
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