BIOGENICS
PO Box 2718
Florence, OR 97439 USA
(541) 999-9208

COLOSTROMETER™ ORDER FORM

**SHIPPING SPECIAL**
Buy two Retail Colostrometers™ and get free shipping (within USA)
DESCRIPTION QTY UNIT PRICE SHIPPING & HANDLING/EACH
Colostrometer™ Only
Colostrometer™ plus Shipping/Measuring Cylinders
Private Label (Free)
Colostrometer™ with Jar
Private Label (Free)
Only Jar
Total Cost 
BILLING
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* Card number:
* Expiration Date (mmyy):
SHIPPING
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Address (continued):
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CONTACT INFORMATION:
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* Work Phone:
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If paying by check: print and mail this completed form, along with your check, to: Biogenics
PO Box 2718
Florence, OR 97439 U.S.A.
Telephone: (541) 999-9208


Note: Personal or Business Checks must clear before merchandise ships.