Print and use this form to order Meritex products listed in this web site,   
 send E-Mail or use the order form of your organization to the address below.

Order Information
First Name Last Name Company Name
     
Address - 1 Address - 2
   
City State Zip County
       
Phone Fax E-mail
     

*
My payment is enclosed_____ (Make check payable to Meritex Inc. California Residents add sales tax). Shipping expenses apply.  Please consult Meritex for shipping method and cost. Shipped by UPS or FedEx  3 day service unless otherwise specified.
Please ship following items
Description

Quantity

Price US$

     
     
     
     

Browse  MERITEX  products            Bolex H16 Rex

Telephone  510-581-9791   E-mail:  jpkurhi@comcast.net
Meritex Inc.  5284 Camino Alta Mira  Castro Valley CA 94546