NAVCO PIPE DATALOG

ORDER FORM

EDITION NO. 11 – 1984

ALL DATALOGS MUST BE PAID FOR IN ADVANCE BEFORE SHIPPING.
CHECK, VISA, AMERICAN EXPRESS, MASTERCARD AND DISCOVER CARD ARE ACCEPTED.
PURCHASE ORDERS ARE NOT ACCEPTED FOR DATALOG ORDERS.

ALL DATALOGS ARE SHIPPED VIA UPS. WILL NOT SHIP TO A POST OFFICE BOX.

1 – 4 DATALOGS $50.00 EACH QUANTITY ____ X $50.00 = $_________

5 – 9 DATALOGS $48.00 EACH QUANTITY ____ X $48.00 = $_________

10 PLUS DATALOGS $46.00 EACH QUANTITY ____ X $46.00 = $_________

PLUS SHIPPING AND HANDLING

UPS COLLECT # __________ (if applicable)

BILLING/SHIPPING INFORMATION:

COMPANY NAME: _________________________________ ATTN: ________________________

STREET ADDRESS (NO P.O. BOX): ____________________________________________

CITY, STATE, ZIP CODE: _____________________________________________________

PHONE: _______________________ EMAIL: _______________________________

TYPE OF CREDIT CARD: _______________________________

NAME ON CREDIT CARD:_______________________________

CREDIT CARD NUMBER: ____________________________________ EXP. DATE: _______

CVV# ______ BILLING ADDRESS ZIP CODE: ________________

PLEASE ALLOW 2 TO 3 WEEKS FOR DELIVERY FOR ORDERS SHIPPED TO THE CONTINENTAL UNITED STATES.

PLEASE FAX ORDER FORM TO (814)-269-3420 OR E-MAIL TO cmerriman@anvilintl.com

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Basic-PSA
269 Jari Drive, Johnstown, PA 15904 | Office: (814) 266-8646 | Fax: (814) 269-3420 | www.basicpsa.com