AL-TAR Services, Inc.

"Quality Without Compromise"®

 

- ISO 17025 Registered -

 

 

 

Equipment Order Form

    Please fill out the information below and our sales manager will contact you with the final price including shipping charges.  Please make sure you have read our terms and conditions.  Once your order is finalized we will fax you an invoice and receipt for your purchase for your added security.  Thank you very much for your purchase!

 Company Name (If applicable)
 Your Name
 Billing Address
 
 Shipping Address (If different)
 
 E-mail Address (Optional)
 Phone Number
 Fax Number
 Credit Card Holders Name
 Payment Type American Express   COD   Discover Card  Visa 

Established Customer (Net 30)      Master Card
 Credit Card Number
 Expiration Date (mm/yyyy)
 PO Number (Established customers)
 Equipment You Want to Purchase
 Need for item High Priority    Normal Priority    Low Priority
 Shipping Account # (If you would like us to ship using your account #)
 Shipper Type (If you would like us to use your shipping account #) Airborne/DHL      Fedex      UPS    Other
 Additional Comments

PLEASE READ & ACCEPT  

I have read and accept all Terms and Conditions set forth by AL-TAR Services, Inc.

    Once your order is placed we will call you to confirm.  Thank you for your order!

  

© Copyright of AL-TAR Services, Inc. 1996-2006