modern radio laboratories        Rec'd ____________________
P.O. Box 14902                                   
Shipped __________________
Minneapolis, MN  55414-0902

Name (print) ______________________________________________ Date ______________________

Address (St. or Rte #) _______________________________________ Phone ______-____-__________

City ________________________State ______________ ZIP or Postal Code ________________Country_______________

Is this your first order?   YES        NO        E-mail __________________________________________

Quantity

Cat. Number

Description

Price Each

Total Price

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                                                                                                          Sub Total    ___________
                                                                       6.5% Sales Tax (MN Customers)   ___________
                                                                                       Insurance and Handling   ____    2.00_
                                                                                                              Postage   ___________
                                                                                                              Total       ___________

Shipping Charges: Add up or estimate the total weight of your order and then follow the table below:
 Current Postage / shipping rates for the United States are as follows:
     Up to 1 pound...............$4.05
                                  Over 1 pound, please see link below or contact your local Post Office

On Line Postage Shipping Rates:  http://postcalc.usps.gov/

All shipping is via the US Postal Service, Priority Mail, or Parcel Post (Ground Transport).
All glass, all receiving tubes are shipped Priority Mail.
Most all orders receive a return post card sent with the receipt to verify that you have received your package OK.
My experience since 1988 is that shipping is excellent, but I still want to know that you received your order all right.

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