MTEC - Order Form

ORDER FORM
FOR MTEC PHOTOACOUSTICS PRODUCTS

Company:	Order Date:
Address:	Phone#
	FAX#
City:	Postal Code:
State/province:	Country:
Purchase Order#	Email address:
Ship to (if different from the address above):	Bill to (if different from the address above):




Delivery Date Required:	FTIR Manufacturer and Model that PAC300 is to be used in:

Other Accessory Items to be ordered:

Name of Company Purchasing Authority:

Terms: FOB Ames, Iowa 50014 USA.
Letter of Credit may be required for some non-domestic purchases. MTEC will respond to the purchaser if necessary.

Please print out the COMPLETED FORM and FAX it to: 1-(515)-451-9234 OR save it as .pdf and EMAIL it to mtec@mtecpas.com