Nanoprobes Online Order Form

Paying by Purchase Order? Please complete the following information.
Paying by credit card? now offers secure online purchasing for all our products!

Contact Information
* = Required field

First Name:*
Last Name:*
Telephone:* Fax:
  Please include your country code if outside the USA.

Payment Information

Purchase Order Number:
Price confirmation: Check if you require confirmation of prices and freight charges before order is shipped.
Credit card payment: Check here if you wish to pay by credit card, but not over the internet.
We will contact you by phone to obtain your credit card information.

Paying by credit card? now offers secure online puchasing for all our products.

Shipping and Billing Addresses

Ship to:
Bill to:


Please use the "Comments" box to describe any special orders. A quotation or prior approval must be obtained for all special or custom orders.

Item # Description Size Qty Price each Subtotal
$ $
$ $
$ $
$ $
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$ $

Special instructions, requests or comments:

NOTE: Freight and shipping charges will be pre-paid and added to the invoice. Domestic orders are shipped by Federal Express Standard Overnight Delivery: please allow at least $15.00 for items weighing less than 1 lb, and more for heavier items. International orders are shipped by Federal Express International Delivery: prices vary by location. If you wish to use another carrier or service, or have charges billed to your account ("bill recipient"), please specify in the "Special Instructions" section. Do not send account information using this form: we will contact you to obtain details. For international orders, duties and taxes will be billed to the recipient.
Learn more about our Shipping Times and Poiicies

Payments should be made in US dollars. Our terms are net 30 days. Nanoprobes, Inc. reserves the right to change prices without notice: in the event that the prices you have entered are not correct, we will inform you before shipping.


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