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PIKE Technologies PRODUCT ORDER FORM

You may conveniently order PIKE products online with this form. This is not a shopping cart function, but instead a quick and easy notification to us of your order. No credit card information is required by the form. Upon receipt of your order we will confirm it by phone, fax or e-mail within 24 hours (business weekdays) and will obtain your payment information at that time. This form will not process unless all required information boxes are complete. Fields indicated with a "" are required fields.

Name: Title:
Company: Email:
Address: Phone:
Address 2: Fax:
City: Send Catalog: Price List: Both:
State or Location: Comments or special requirements:
Zip:
Country:
 
Spectrometer:
Order additional products below:
Item   1: Part #: Qty: Price:
Item   2: Part #: Qty: Price:
Item   3: Part #: Qty: Price:
Item   4: Part #: Qty: Price:
Item   5: Part #: Qty: Price:
Item   6: Part #: Qty: Price:
Item   7: Part #: Qty: Price:
Item   8: Part #: Qty: Price:
Item   9: Part #: Qty: Price:
Item 10: Part #: Qty: Price:
Purchase Order Number:

Terms and Conditions: Payment is net 30 days, and shipments are FOB Madison, WI, USA. Freight charges are prepaid and added to the invoice.

Delivery: Most items are delivered within 30 days from the receipt of the Purchase Order. The delivery/shipment date will be confirmed as soon as the order is processed.

Guarantee: All PIKE products are guaranteed to be free from defects in material and workmanship for one year from the date of delivery.

  
PIKE Technologies respects your privacy. Information submitted via this form will not be shared with any third party. It will be used only for communicating with you regarding your order.