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STANDARD EQUIPMENT ORDERING FORM #1 Please print this form, fill out, then fax or mail to: KOH DEVELOPMENT, INC. 1884 Canova St. SE Palm Bay, FL 32909 FAX: 321-821-1819  Phone: 321-872-0940
Qty	Cat #	Description	Price @	Total
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Sub-total				$
Shipping total				$
Grand Total				$
Name:
Email:
Company/Institution:
Title/Position:
Address:
City:		State/Province:	Country:
Zip/Postal Code:		Telephone:	Fax:
P.O (Purchase Order) #:
Signature:                                                         Date: In the event we would need to contact the user of these products for technical questions, please include the name and phone # if different from the person listed above.
BILL TO:         SHIP TO: _______________________________________ _______________________________________ _______________________________________ _______________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________
Payment Terms: Unless otherwise noted,terms of payment are net 30 days. Shipping: We'll ship via United Parcel Service (UPS) or common carrier unless you would rather have it sent anotherway. Prices are F.O.B Ann Arbor, Michigan. We will prepay the shipping and handling charges and add the cost to your invoice. Pricing: All prices are subject to change without notice. Return of materials: Returns must be authorized by Koh Development, Inc. If we have filled your order correctly but you decide to return the merchandize anyway, a 15% restocking charge will be required. You must prepay return transportation, and the materials must arrive to us in saleable condition. Liability: Scientific products are intended for use in a laboratory only. Data on products in this catalog are correct and reliable to the best of our knowledge and belief. Under no circumstances will Koh Development be responsible for consequential damages arising from use of our products. Koh Development is liable exclusively and restrictively to replacing defective products. Warranty: Koh Development warrants its products to be free of defects in material and workmanship. At our option we will replace or repair at no cost to you if any product is found to be defective. Please call us if you encounter any problems with our products. We cannot warranty items returned due to misuse or abuse, however, we will make every effort to repair them for a fair price.