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Fax Receipt To: ______________________________ Fax Number________________________
(Here’s our current Price List)
BILL TO: SHIP PRODUCT TO:
company name company name
street address street address
city/state/zip code city/state/zip code
contact name telephone contact name telephone
BILLING TO (circle one): Product(s) shipped via UPS (circle one)
:
Visa MasterCard American Express
Ground 3-Day Select 2nd Day Air Ovr Night
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Credit Card Number Purchase Order Number (Net 30 Accounts)
____________________________________________________ _________________
Name On Card exp. date
MOISTURE VAPOR EMISSION TEST KITS & ACCESSORIES
PRICE
QUANTITY
TOTAL
___ Contractor Pack - 100 test kits in 1 box $ 910.00 _______ _______
___ Commercial Pack - 12 test kits in 1 box (All packs contain pH Test Kits) $ 135.12 _______ _______
___ Survey Pack - 3 test kits in 1 box $ 35.55 _______
___ Hydrion Jumbo Insta -Check pH pencil $ 37.00 _______
___ pH Spectral 1-14 Jumbo (100/pk) $ 8.00 _______
___ pH Level Test Kits (12strips/pk) $ 3.00 _______ _______
___ Reusable Safety Cones (12 cones to a box) $ 21.00 _______
___ Heavy Duty Plastic Dome Press (Black) $ 10.00 _______
___ Tanita Portable Electronic Gram Weight Scale with Calibration Kit $ 125.00 _______
ELECTRONIC MOISTURE METERS
___ Tramex Moisture Encounter Plus MEP for DRYWALL & WOOD Surfaces $ 385.00 _______
___ Tramex RHIH Insulated RH Hood for surface RH Testing $ 63.85 _______
___ Wagner Concrete Proline - Concrete Meter - C575 $ 395.00 _______
___ Wagner Inspector Proline – Analog Wood Moisture Meter - L606 $ 378.00 _______
___ Wagner Inspector Proline – Digital Wood Moisture Meter - MMC210 $ 450.00 _______
___ Wagner Inspector Proline – Extended Range Wood Moisture Meter -MMC220 $ 450.00 _______
Wagner Rapid Rh Testing
___ Wagner Rapid Rh Testing Kit
(5 sensors, one reader, drill bit, brush, insert tool & vacuum extension) $ 483.00 _______
___ Wagner Long Readers – Each $ 112.00 _______
___ Wagner Sensors – 5 Pack $ 185.00 _______
___ Wagner Sensors – 50 Pack $1,600.00 _______
___ Wagner Sensors – 100 Pack $2,700.00 _______
Wagner Accessories for Rapid Rh Testing
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Wagner Drill Bit $ 43.00 _______
____
Wagner Wire Brush $ 15.00 _______
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Wagner Insert Tool $ 20.00 _______
____
Wagner Vacuum Extension $ 22.00 _______
ENVIRONMENTAL AND OTHER MEASUREMENT INSTRUMENTS
___ General/Mannix Humidity/Temp Digital Psychrometer – Calibratable - EP8706 $ 94.45 _______
___ General/Mannix Thermo Seek IRT 105 6:1 Pocket Infrared Thermometer $ 29.99 _______
___ Mannix Digital K-type Surface Thermometer – DT-8801 w/1 Probe $ 89.95 _______
___ Mannix Digital K-type Surface Thermometer – DT-8803 w/2 Probe $ 99.95 _______
___ Mannix EP8706 Digital Psychrometer w/Calc. $ 89.95 _______
___ Mannix DPH 8690 pH Meter . $ 89.95 _______
___ General DTH 800 Thermo Hygro Clock (dig. temp/hum. w/ clock) $ 59.00 _______
We will calculate the freight charges and sales tax, if any, then fax back
Total Order ______
to you to serve as a receipt of your order
VAPRECISION Professional Vapor Emission Testing Systems FAX ORDER FORM
Please complete & fax to 714-549-8245 or call 714-439-1620 www.vaportest.com