APT INSTRUMENTS

952-881-7095

The Exclusive Smiths Gauge World Wide Sales & Service Center

SMITHS INSTRUMENTS ORDER FORM

  PRINT THIS FORM & EMAIL TO INFO@GAUGEGUYS.COM OR FAX TO 952-881-2680
 

 

Part Number

Brief Description

No. of Items

Item Price

Total Price

1

 

 

 

 

 

2

 

 

 

 

 

3

 

 

 

 

 

4

 

 

 

 

 

5

 

 

 

 

 

6

 

 

 

 

 

7

 

 

 

 

 

8

 

 

 

 

 

9

 

 

 

 

 

 10

 

 

 

 

 

 

 

 

 

GRAND TOTAL:

 $

SMITHS REP PHONE 952-881-7095

YOUR CONTACT INFORMATION:

Name  _______________________________________________________________
Phone Numbers _______________________________________________________
eMail Address  ________________________________________________________
Shipping Address _____________________________________________________
_____________________________________________________________________
Billing Address (if different from shipping address) _________________________
_____________________________________________________________________

S&H to be added by Smiths rep.  Ship Preference (UPS/US Mail) ______________

Note:  If paying by credit card, call the Smiths rep at 952-881-7095 or you can send the card information in two separate emails to info@gaugeguys.com.  If paying via PayPal, we can send a request for money to your PayPal designation:  ____________________________________________.

PRINT THIS FORM & EMAIL TO INFO@GAUGEGUYS.COM  OR FAX TO 952-881-2680

We accept Visa, MasterCard, Discover, American Express, money orders, PayPal and checks.

Last modified: May 14, 2013