Simply
print out and complete the order form below.
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PuriFresh® Products -- Order Form Bill to (please
print): Ship to (if different
from billing address): |
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Qty. |
Item No. |
Description |
Cost Each |
Total |
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1 |
TEMPORARILY
OUT OF STOCK |
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2 |
Additional
set of four HEPA filters (for Item 1). |
$40.00 (15.00) |
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3 |
TEMPORARILYOUT OF STOCK |
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4 |
$525.00 (45.00) |
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5 |
Window kit (for Item 4) |
$95.00 (20.00) |
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6 |
PuriFresh® Fresh
Air Duct Adapter Kit (to connect Item 3 to Item 4) |
$145.00 (20.00) |
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SUBTOTAL |
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Wisconsin residents: add 5.5% sales tax |
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Shipping
and Handling (all items shipped separately): We ship
UPS. Include shipping cost listed
in parentheses under Cost Each for each item ordered. |
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TOTAL |
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PAYMENT
METHOD: __ Check or Money Order enclosed, made payable to ElasTek, Inc. __VISA __MasterCard Card
Number__________________________ Expiration date ___/___
Signature_____________________________ If you are not delighted with the product, return it undamaged within 30 days of receipt (you pay all shipping costs) for a refund. |
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Send or Fax completed order form to: PuriFresh® Sales |
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