*Mandatory

Billing Address
	Full Name	*
(Address where the credit card statement is delivered)	Address	*

City		*
State/Province		*
ZIP or Postal Code		*
*Countries with an ' ' require a postal code**	Country	*
Daytime Telephone		*
Evening Telephone
Where you would like the electronic reciept to be sent	E-mail address	*

Shipping Address
	Full Name
(If Different From Above)	Address

City
State/Province
ZIP or Postal Code
*Countries with an ' ' require a postal code**	Country
Please place any special shipping instructions in the box below. If you wish to ship UPS Overnight, 2-day, or 3-day, let us know here. We will contact you with a revised shipping quote & verify the item(s) are in stock and ready to ship.

Credit Card Information
	Name on Credit Card	*
	Type	*
	Number	*
	CCV	*
	Expires On	*

Brochures are available in PDF format where you see this symbol:
To download Adobe Acrobat Reader, click here:

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Copyright ©2000-2002 Instrument Sales No part of this page may be reproduced without the express written permission of Instrument Sales.
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Prices and specifications are subject to change without notice.