To order print and mail or fax this form to:
Safe-Capture International, Inc.
P.O. Box 206
Mt. Horeb, WI 53572 USA
Fax: (608) 767-3072
| Illumi-Spec II©
Small + 1 Light Source $87.00 + $9.00 shipping and handling * |
Quantity
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| Illumi-Spec II©
Medium +
1 Light Source $92.00 + $9.00 shipping and handling * |
Quantity
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| Illumi-Spec II©
Mini + 1 Light Source $99.00 + $9.00 shipping and handling * |
Quantity
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| Artificial Insemination
Kit $395.00 + $35.00 shipping, handling and insurance |
Quantity
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* Shipping is $9 total even when ordering multiple speculums.
* There is no shipping charge for speculums when ordering with an AI kit
| Name:
__________________________________________________________________________________ ________________________________________________________________________________________ |
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| Agency/Farm/Ranch:
______________________________ |
Mailing Address: _____________________________ |
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| City: ___________________________ | State: _______ | Zip: _______________ | Tel: __________________ |
Fax: _______________________________________ |
Email: ______________________________________ |
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Total Order Price: _______________
(Check, VISA, MasterCard, PO#s Accepted): Card#: __________________________ Exp: ____________
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