EMERGENCY
WATER DIVERTER
ORDER FORM
Print the order form and mail to ProText, Inc.
Invoice/send to:
| Date: __________________ |
| Name: ____________________________________________________________________________________ |
| Organization: _________________________________________________________________________________________________ |
| Address: _____________________________________________________________________________________________________ |
| City, State, Zip: _______________________________________________________________________________________________ |
| Quantity | Description |
Unit Price |
Total |
| x | Emergency Water Diverter |
x
|
x |
| x | 3' x 6' |
$65.40
|
x |
| x | 3' x 8' |
$68.16
|
x |
| x | 3' x 10' |
$70.20
|
x |
| x | 6' x 6' |
$76.44
|
x |
| x | 6' x 8' |
$82.86
|
x |
| x | 6' x10' |
x $89.22
|
x |
| x | x | x | x |
|
Suspension
rope and hose not included. Custom sizes available upon request.
|
x | ||
|
SUBTOTAL
|
x | ||
|
MD res. add 5% sales tax, or supply tax exempt number
|
x | ||
|
SHIPPING (added to invoice)
|
x | ||
|
TOTAL AMOUNT
|
x | ||
Authorized Representative:___________________________________________________
Telephone Number:_________________________________________________________
Make check payable to:
ProText, Inc.
P.O Box 30423
Bethesda, Maryland 20824
301-320-7231 Fax: 301-320-7232
We accept Visa and MasterCard.
Please allow approximately 15 days for delivery. (Orders are shipped by
UPS Ground Service.)
It is understood and agreed that seller's liability whether in contract, in
tort, under any warranty, in negligence or otherwise shall not exceed the
return of the amount of the purchase price paid by purchaser and under no
circumstances shall seller be liable for incidental, special, indirect or
consequential damages. The price stated for the equipment is a consideration in
limiting seller's liability. The remedies provided in this contract for breach
thereof by the seller shall constitute the exclusive remedies available to the
buyer and all other remedies which might otherwise be available under the law
of any jurisdiction are hereby waived by the buyer.
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