MicroAnalytic Products, Inc. - Order Form

Micro Analytic Products, Inc.

3 Romaine Road Mountain Lakes, NJ 07046

Phone 973.402.2424 Fax 973.335.1956

Order Form

610 Series Product Line

Qty

Model

Description

Unit Price

Total

 

610-S-A-0-0

Dual Zip Drive unit no Bernoulli Support *

$2999.00

 

 

610-R-A-0-0

Dual Zip Drive unit with Bernoulli Support *

$3749.00

 

 

610-R-A-1-0

Dual Zip with Bernoulli and Advanced feature set*

$3999.00

 

 

610-R-A-1-1

Dual Zip with Bernoulli, Advanced features ,Serial*

$4239.00

 

 

CBL1011

2 meter cable 50 pin D sub with 50 pin inline

$89.00

 

 

CBL1002

2 meter cable dual 50 pin D sub

$89.00

 

 

SHD610

Annual Hardware support contract

$249.00

 

 

SSD610

Annual Upgrade support

$199.00

 

Shipping & Insurance

 

Total

* products listed with US style Power Cord

Purchaser Information

Contact Name

 

Company Name

 

Billing Address

 

Shipping Address

 

City

State

Zip

Phone:

Fax:

Name of Card Holder

 

Account number

 

Expiration Date

 

Billing Address

 

Contact Phone number

 

Please Circle One

American Express

Visa

Master Charge

Discover

Please fax this information along with your completed order form to 973-335-1956. Thank you.


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