Order Form

Print-out Order Form from screen, fill out and FAX to 503-256-3844 or call in the order at 800-227-2105 or 503-257-8957 USA

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Item	Description	Qty	Price	Total
PN	Thermo-Hygrometer w/purchase of a meter		74.00
International Orders and all other freight questions please call 1-800-227-2105
			Total

Thank you for the Order

Date	E-mail
Company
Name
Address
City	State
Zip Code	Country
Phone #:	CVV2
Credit Card
Expiration Date:	Billing Zip Code:
Billing Address:
MAIL TO: Lignomat USA LTD 14345 NE Morris Ct Portland OR 97230	Fax to: 503-256-3844 E-mail to: sales@lignomat.com Questions call: 1-800-227-2105 503-257-8957