RTI - Surplus Optical Components Order Form

SHIPPING: Unless otherwise directed, shipment will be by the method Rugate Technologies, Inc. deems appropriate, F.O.B. Rugate Technologies' offices. Shipping costs are prepaid and added to the customer's invoice.
PRICING: All prices are in U.S. dollars. Surplus optics are available in limited quantities and are subject to prior sale. Prices are subject to change without notice. Listed prices do not include taxes, duties, freight, or insurance charges. We are not responsible for typographical errors.
PAYMENT: Payment may be made by Visa or Mastercard, through PayPal or Billpoint or payment may be prepaid, COD, Net 10 for approved purchase orders, or American Express.
WARRANTY: The buyer has the right to return the products to Rugate Technologies, within 30 days after receipt, for replacement or full credit.

Please describe the payment option you would prefer to use and we will contact you with specific arrangements:

Order will be shipped to the following address:
Name:
Company:
Phone:
Fax:
e-mail:
Address:

# of Items	Part Number	Dia (in)	Description of Item	Quantity	Price
1
2
3
4
5
6
7

Print form.
Complete, and fax or mail to:
Rugate Technologies, Inc.
353 Christian Street
Oxford, CT 06478

Fax: 203-267-3157

Questions? e-mail: info@rugate.com

Note: When printed, this order form may be multiple pages. Please make sure that all pages are printed and completed so we can fill your order completely and accurately. Thank you.

Click here for PDF version.

Rugate Technologies, Inc. 2003.

Surplus Optical Components Order Form

# of Items

Part Number

Dia (in)

Description of Item

Quantity

Price

1

2

3

4

5

6

7

Subtotal

Sales Tax (6% in CT)

Final Total

Please describe the payment option you would prefer to use and we will contact you with specific arrangements:

Order will be shipped to the following address:

Name:

Company:

Phone:

Fax:

e-mail:

Address:

END OF ORDER FORM.
Thank you for your order.

Print form. Complete, and fax or mail to: Rugate Technologies, Inc. 353 Christian Street Oxford, CT 06478 Fax: 203-267-3157 Questions? e-mail: info@rugate.com

Note: When printed, this order form may be multiple pages. Please make sure that all pages are printed and completed so we can fill your order completely and accurately. Thank you. Click here for PDF version.

Rugate Technologies, Inc. 2003.

Surplus Optical Components Order Form

# of Items

Part Number

Dia (in)

Description of Item

Quantity

Price

1

2

3

4

5

6

7

Subtotal

Sales Tax (6% in CT)

Final Total

Please describe the payment option you would prefer to use and we will contact you with specific arrangements:

Order will be shipped to the following address:

Name:

Company:

Phone:

Fax:

e-mail:

Address:

END OF ORDER FORM. Thank you for your order.

Print form.
Complete, and fax or mail to:
Rugate Technologies, Inc.
353 Christian Street
Oxford, CT 06478

Fax: 203-267-3157

Questions? e-mail: info@rugate.com

Note: When printed, this order form may be multiple pages. Please make sure that all pages are printed and completed so we can fill your order completely and accurately. Thank you.

Click here for PDF version.

END OF ORDER FORM.
Thank you for your order.