-> GOULD
INDUSTRIAL AUTOMATION SYSTEMS
PUBLICATIONS ORDER FORM
TO ORDER BY PHONE, CALL
I-800-GOULD IA
and ask
for an Order Entry Coordinator
Bill To: Ship To: (if different):
Customer Contact
Name:
Purchase Order No.
Document
Part Number
Date
Description
Telephone:
Quantity
Unit Price
Total Price
Sub Total
Authorized Signature
Date
Freight
Total
Ordering Instructions
Provide appropriate billing address and shipping address (if dif-
ferent from billing address).
Please provide a contact name and phone number in case we have
a question about your order.
indicate your purchase order number and date. (You may prepay
by enclosing a check for the full amount.)
Give the part number, description, and quantity for each document
ordered.
Unless otherwise specified, all orders are shipped best way surface,
F.O.B. Andover, MA (prepay and add if UPS surface, collect for truck
Delivery
and air). If you specify insurance, you will be billed for these changes.
Gould will not assume any liability in connection with the shipment nor
shall the carrier be construed to be an agent of Gould.
Payment
Terms are net 30 days from date of invoice. Unless otherwise stated,
partial shipments will generate partial invoices.
Prices
Prices are subject to change without notice. Individual prices can be
found in the Publications Catalog or obtained by calling an Order Entry
Coordinator at l-800-GOULD IA.
-‘ii= GOULD
Electronics
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