Casing Scientific Online Order Form Below
Internet Shopping Cart System Now Available!
Casing Scientific has an E/Store for ordering over the internet. This platform accepts purchase orders as well as credit cards. All of the traditional ways of ordering continue to be available, including form submissions, emails, and telephone orders. To go directly to the shopping cart, please click the left link below:
Now Available on the National Institutes of Health / Agriculture Research Service Intramalls
THE INTERNET ORDER FORM BELOW IS BEST USED WITH THE WEB PRODUCT SECTIONS OPEN IN ONE WINDOW AND THE FORM OPEN IN A SECOND WINDOW. THIS SHOULD PREVENT LOSS OF DATA ENTERED ON THE FORM. THE COMPLETED INTERNET FORM CAN BE PRINTED AND FAXED OR SUBMITTED AS FILLED-IN HERE, OVER THE INTERNET. (Our inbound fax system is secure and all information received is protected)
CASING SCIENTIFIC ON-LINE ORDER FORM BELOW Transaction Receipt by Email or Fax
CONTACT INFORMATION OR BILL TO ADDRESS: First Name Last Name Organization Department Street Address Room Number/Mail Stop City State Country Zip Code PO NUMBER: Request Vendor Setup & Tax Id Information for your Institution's Purchasing Department Request Order Confirmation by Fax PURCHASING DEPARTMENT CONTACT INFORMATION: Contact Name Purchasing Dept Telephone Facsimile Terms Offered U.S. Health Care Organizations, n 30 days NEW CUSTOMER SETUP AND APPROVAL: IMMEDIATE We also accept U.S. Government & U.S. Commercial Purchase Cards: Visa Mastercard American Express Credit Card Number: Expiration Date: Name appearing on card: (CREDIT CARD INFORMATION CAN BE ACCEPTED BY TELEPHONE: 800 358 6866 OR 214 995 1132)
Request Brochure & Pricing Request Pricing & Transportation Cost Estimate for International Destinations ORDERING INFORMATION*: Required delivery date: Freight: prepay & add Delivery: Ground; Overnight Customer Air Carrier Account # Carrier Name: Customer Account Number: Casing Scientific Catalog Numbers: * All international sales subject to acceptance (All Label Purchases are sold by the box) Catalog No. Cases Boxes Catalog No. Cases Boxes Catalog No. Cases Boxes Catalog No. Cases Boxes Catalog No. Cases Boxes Catalog No. Cases Boxes When this form is completed, it can be submitted by pressing the "Submit" button at the top of this page, or printed and faxed to 888 661 9606.
Work Phone Extension Cell Phone (optional) Facsimile Email Address SHIP TO ADDRESS: Attention: Mr. Ms. First Name Last Name Title
Organization Department Street Address Room Number/Mail Stop City State Country Zip Code
COMMENTS OR QUESTIONS: ORDERING CONTINUED
Catalog No. Cases Catalog No. Cases Catalog No. Cases
Catalog No. Sheets Catalog No. Sheets Catalog No. Sheets
Casing Scientific 5015 Addison Circle Addison, Texas 75001 Email: casing@prodigy.net U.S. Order Line 800 358 6866 U.S. Fax 888 661 9606 Intl Phone 1 214 215 5661 Intl Fax 1 254 731 2522
Casing Scientific qualifies for U.S. government and military small business set-asides. We accept purchase orders, Visa, Mastercard, and American Express.
