Casing Scientific
  5015
Addison Circle  Addison, Texas  75001 
Email: casingscientific@gmail.com     Home:  http://www.casingcorp.com

eCommerce:  www.casingscientific.mybigcommerce.com


 Order Line 800 358 6105  U.S. Fax 888 661 5667
 Google Hangouts U.S.  972-591-3605 (SMS)

Intl or Local Phone 1 214 223 6358;   Intl or Local Fax 1 254 731 2522

Summary Order Form by Fax     International Customer Order Form

Container Catalog June 1, 2017 -  OCR   Label Catalog - January 1, 2017

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 IF
YOU NAVIGATE AWAY FROM THE FORM PAGE BEFORE SUBMISSION.


 
THE COMPLETED INTERNET FORM CAN BE PRINTED AND FAXED OR SUBMITTED
 AS FILLED-IN BELOW, OVER THE INTERNET BY PRESSING THE "SUBIT" BUTTON.

Three ways to use this form:  (a) debit or credit purchase cards,

                                                                   (b) standard commercial terms - net 30 days

                                                                                    (c) Paypal invoice - created by selecting Paypal option
                                              on the Order Form below
 

PayPal Invoicing:  How it Works

 SUBMIT

 

CASING SCIENTIFIC ON-LINE
 ORDER FORM BELOW
Transaction Receipt by Email or Fax

 

CONTACT INFORMATION
BILL TO ADDRESS:

Payment Options:

   Debit/Credit Purchase Cards, or

    Net 30 Terms

    Paypal Invoice, for non-members of Paypal


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 APPROVEAL:  IMMEDIATE
We also accept U.S. Government 
& U.S. Commercial Purchase Cards:

Visa  Mastercard  American Express

Paypal Invoicing

Credit Card Number:

 
Expiration Date:

Name appearing on card:

(CREDIT CARD INFORMATION CAN BE ACCEPTED BY TELEPHONE: 800-358-6105) 

 

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 Form, or printed and faxed to 888-661-5667 or 1 254-731-2522

 COMMUNICATIONS:

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

Full Case Orders

Cat No.
 Case 
Cat No.
 Case
Cat No.
 Case
Cat No. 
 Cases 
Cat No.
 Cases 
Cat No.
Cases 
 Cat No. 
 Cases 
Cat No.
 Cases 
Cat No.
Cases 
 

Cat No. 
 Cases 
Cat No.
 Cases 
Cat No.
Cases 
 

Half Cases                                                                                            

Catalog No.
1/2 Cases  
Catalog No.
1/2 Cases
Catalog No.
1/2 Cases
Catalog No. 
1/2 Cases
Catalog No.
1/2 Cases
Catalog No.
1/2 Cases

 

Casing Scientific
  
5015 Addison Circle  Addison, Texas  75001 
Email: casing@scientific@gmail.com
  
U.S. Tel. 1 800-358-6105 Local Tel & Google Hangouts 1 972-591-3605
 U.S. Fax  1 888 661 5667 & Local / Intl Fax 1 254 731 2522 

Casing Scientific qualifies for U.S. government and military small business set-asides. 
 
We accept purchase orders,
Paypal
Invoicing, Visa, Mastercard, and American Express.