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USA, Canada & Mexico Catalog Order Form

Catalogs are sent by Priority Mail to U.S. addresses and by Airmail Letter Post to Canada and Mexico.

You may order a 2008 catalog using this form, by e-mail (bqinfo@bioquip.com), or Fax (310-667-8808) with a Visa, MasterCard, or Discover credit card.

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 online. You can view, download and place an order from the catalog using this site.

Please send 2008 printed catalog ($10.00)

Please provide the following information:
* = must be completed
MAILING
*Name
Title
Organization
*Check One:

Home Address    Work Address

*Street Address
Address (cont.)
*City
*State/Province
*Zip/Postal Code
*Country
Work Phone
*Home Phone
FAX
*E-mail
Secure    BILLING

*Credit Card

*Cardholder Name
*Card Number
*Expiration Date
   
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