Welcome
Event Calendar
Search
Catalog
Check Prices
Quotes
Order
My Cart
My Account
Contact Us

Other Countries Catalog Order Form

The 2008 print version of the catalog will be sent by air.

You may order a catalog using a Visa, MasterCard or Discover credit card on this form. You may also print this form and fax to BioQuip (310) 667-8808, or mail with check or money order drawn on a U.S. bank account.

If you are placing an order now, do not use this form. Just click here to add a 2008 Printed Catalog ($5.00) to your shopping cart and it will be mailed with your order.

Please note: you may not need to request a printed catalog. The entire 2008 catalog is available on line. You can view, download and place an order from the catalog using this site.

Please send 2008 Printed Catalog (US$15.00)

Please provide the following information:
* = must be completed
MAILING
*Name
Title
Organization
*Street Address
Address (cont.)
*City
*Province/State
*Country
*Postal Code
Work Phone
Home Phone
FAX
*E-mail
Secure    BILLING

*Credit Card

*Cardholder Name
*Card Number
*Expiration Date
   
Enter the code you see: (New Code)