TABLE OF CONTENTS - BGB Analytik AG

Agilent Technologies Order Form Agilent Technologies
Outside the U.S. and Canada, please contact your local Agilent office or Authorized Distributor when ordering.
Name:
Title:
Phone:
Company:
Order Date Purchase Order or Credit Card Number & Expiration
Company:
Street:
Room/Bldg/Dept:
City:
State/Province/Country:
Zip/Postal Code:
Deliver to:
Part Number
Special Instructions:
Shipping Address
Description Quantity Price Total Cost
www.agilent.com/chem/supplies
Taxable
Y or N?
Ye s No
If No, please provide Certificate #
Fax:
Email:
Ordering Information
Billing Address
Subtotal:
Tax:
Total:
For Assistance: Please call the Agilent Technologies Customer Contact Center at 1-800-227-9770 (U.S. and Canada)
Email Node: cag_sales-na@agilent.com
Fax Number: 302-633-8901 U.S. and Canada
Note: 1. All pricing, tax, discount, and availability information is subject to verification by Agilent Technologies.
2. Shipping and handling is free for orders over $2000 US.
Ordering Information
891