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EZ ORDER FORM
Contact us about our split payment plan, or see the PDF version of this order form.
It’s easy to order The World Market for DP Flowmeters and Primary Elements! You can: 1) Print this form, fill it out, and fax it to Flow Research at (781) 224-7552. 2) Email your order with the information below to jesse@flowresearch.com. 3) Mail us a check with this order form to Flow Research at the address below. Please make payable to Flow Research. 4) Call us at (781) 245-3200. We'll take your order on the phone.
Name ______________________________ Company ________________________ Street ______________________________ City ____________________________ State/Region ________________________ Zip/Postal Code ____________________ Country ____________________________ Phone ___________________________ Email ______________________________ Fax _____________________________ Send your check to: Flow Research, Inc. 27 Water Street Wakefield, MA 01880 (781) 245-3200
_____ Check enclosed for $ ___________ (payable to Flow Research) _____ Credit card payment for $ ______________ with Visa/Mastercard (circle one) Name on card _________________________ Signature _____________________ Card Number __________________________ Expiration ____________________ _____ Bill me (provide purchase order) Purchase order number ___________ _____ Contact us to discuss the study Our fax number: (781) 224-7552
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