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How To Order PuriFresh^® Products

Simply print out and complete the order form below. Prices* current as of February 1, 2012.

PuriFresh^® Products -- Order Form Phone Orders: (608) 238-2039; Fax Orders: (608) 238-0270 Bill to (please print): Name: _______________________________________________ Address: _____________________________________________ City: ________________ State: ________ Zip: ______________ Telephone (Day): ____________________ Email: _______________________________ Ship to (if different from billing address): Name: _______________________________________________ Address: _____________________________________________ City: ________________ State: ________ Zip: ______________ Telephone (Day): ____________________ Email: _______________________________
Qty.	Item No.	Description	Cost Each	Total
	1	PuriFresh® Energy Recovery Ventilator	$495.00 (40.00)
	2	PuriFresh® Clean Room	$545.00 (45.00)
	3	Window kit (for Item 2)	$195.00 (20.00)
	4	PuriFresh® Fresh Air Duct Adapter Kit (to connect Item 1 to Item 2)	$195.00 (20.00)
SUBTOTAL
Wisconsin residents: add 5.5% sales tax
Shipping and Handling (all items shipped separately): We ship UPS. Include shipping cost listed in parentheses under Cost Each for each item ordered.
TOTAL
PAYMENT METHOD: __ Check or Money Order enclosed, made payable to ElasTek, Inc. We are now using Paypal. If you wish to pay with a credit card, email us your order. We will email a Paypal invoice to you. If you fax or mail your order, be sure to include your email address. Note: Do NOT email us your credit card information. If you are not delighted with the product, return it undamaged within 30 days of receipt (you pay all shipping costs) for a refund.
Send or Fax completed order form to: PuriFresh^® Sales ElasTek, Inc. 2 Chippewa Ct. Madison, WI 53711

* Prices subject to change without notice.

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