Order Form - Digitry Company, Inc.

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Digitry Order Form

TO ORDER:
You can call us at 1-207-774-0300.
You can FAX us at 1-617-484-5220.
Print out a blank form, fill it out and mail it with a check to the above address.
Or fill out and submit the online order form below.
Email us at: help@digitry.com

Please send Catalog - No order at this time.

Name:
Address:
Address:
City:	State/Prov:
Zip:	Country:
Day Phone:	Evening Phone:
E-mail:
Ship to:	Same as above
Shipping Address if different than above:

Quantity	Description	Unit Price	Amount
	GB5 with Sending Units Fahrenheit Celsius
	GB5 Type S Option: channels above to be Type S
	GB5 European Option
	GB5 Key Lock
	GB1 Fahrenheit Celsius
	GB1 Auxiliary Relay
	GB1 European Option
	GB1 Key Lock
	Contactor: Amperage Coil Voltage
	Contactor: Amperage Coil Voltage
	Thermocouple
	Plug Box: Contactor: PB30 PB50
	Complete 50 Amp GB1 Package KCS 10-50
	KCS 6-50


Total Due

Purchase Order (Schools & Universities only.) P.O. Number

Please ship C.O.D. (Shipping and insurance costs will be added.)

Enclosed please find a check for the total amount (Digitry will pay
freight and insurance costs for delivery to USA or Canada.)

Method of Payment:
Name on Card:
Credit Card No.:	Exp.Date:
Bank Name:

Please enter any comments or questions below:

We will process your order and email or phone you with a verification before we ship your order. Please make sure you have entered your phone number and email above.

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