Only Domestic US Companies should be using this order form. All non-US Companies or to obtain pricing please contact our sales department.
Use your browser to print a copy of this form. Fill out the form and mail your order along with a check or money order to: ENERTECH Consultants, 300 Orchard City Drive, Suite #132, Campbell, CA 95008. If you have any questions, concerns, or need pricing please call our sales department at: (408) 866-7266, FAX us at: (408) 866-7279, E-Mail us at: ETCSales@enertech.net, or complete our on-line support form.
Note: Prices are subject to change without notice. Payment is required before shipping. No cash orders are accepted.
| Date: ________________________________________ |
| Your Name: ________________________________________ |
| Company Name: ________________________________________ |
| Shipping Address: ________________________________________ |
| Add Address: ________________________________________ |
| Telephone: (____)__________________________________ |
You must manually fill in the table below for Enertech to process your order. Please include quantity for item(s) desired and the corresponding total(s).
Equipment/Software |
Quantity |
Price |
Total Price |
| EMDEX II Replacement Interface Cable | _______ | _______ | $________ |
| EMDEX LITE Replacement Interface Cable | _______ | _______ | $________ |
| EMDEX MATE Replacement Interface Cable | _______ | _______ | $________ |
| Amp-Logger Custom, Low-Impedance Extension Leads: Shielded, double leads with banana connectors at each end | _______ | _______ | $________ |
| _______ | _______ | $________ | |
| Subtotal:$________ | |||
| Sales Tax (CA):$________ | |||
| Shipping & Insurance: $________ | |||
| Add $25 If Paying by Wire Transfer: $________ | |||
| Total Price ($US): $________ | |||
All Cables comes with a standard 90-day manufacturers warranty.
Please include any additional shipping procedures or
helpful comments about your order below:
___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________
Other Domestic Order Forms for:
Accessories | Services
| Software