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| Historical Instrument and Gift Page Order Form: | |||
| Print and Mail or fax this form to: Ames Instrument Company, 171 Otsego Road, Canajoharie, NY 13317. Fax: 1-(607)264-3220. | |||
| Delivery Information: | |||
| Your Full Name: | |||
| Street: | |||
| Apt.: | |||
| City: | |||
| State: | |||
| Zip Code: | |||
| Daytime Phone: | |||
| Evening Phone: | |||
| E-Mail: | |||
| Payment Method: | (Check One) | ||
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Check or money order enclosed. (Make check payable to Ames Instrument Company) | ||
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Credit Card, VISA or MasterCard | ||
| Circle One: | 
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| Name as it appears on Credit Card: | |||
| Account Number: | |||
| Expiration Date: | |||
| Order Information for Historical Instrument Page: | |||
| Item Description | Quantity | Unit Price Ea. | Sub-Total |
| Rittenhouse Compass | $850.00 each | ||
| Tripod when ordered with a Rittenhouse Compass | $150.00 | ||
| Tripod Only | $225.00 each | ||
| Jacob' Staff | $295.00 each | ||
| Chandlee Compass | $1250.00 each | ||
| Chandlee Compass w/Tripod | $1425.00 each | ||
| * US and Canadian Shipping Of Compasses And Tripods | |||
| Shipping
& Handling: Compass w/ Tripod Shipping & Handling: $50.00 Shipping Weight Approx. 27 lbs. Tripod Shipping &
Handling: $20.00 Jacob's Staff Shipping & Handling: $15.00 Foreign Shipping Fees: Please Contact Us |
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| New
York State residents Add 7% Sales Tax: (If You Are Exempt, Include A Copy Of Your Tax #) |
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| Total: | |||
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Order Information for Gift Page: |
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| Item Description | Quantity | Unit Price Ea. | Sub-Total |
| 1/2 Scale Rittenhouse Compass | $225.00 each | ||
| 1/2 Scale Rittenhouse Compass with Mini-Chain | $270.00 each | ||
| Full
Scale Rittenhouse Compass on Display Stand (Not Boxed) |
$725.00 each | ||
| Shipping
& Handling:
Mini-Chain: $5.00 Note: Free shipping and handling when two or more of any item on this page is purchased. |
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| New
York State residents Add 7% Sales Tax: (If You Are Exempt, Include A Copy Of Your Tax #) |
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| Total: | |||
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E-Mail: info@amesinstrumentcompany.com |
Ames Instrument Company
171 Otsego Road, Canajoharie, NY 13317
Phone: (607)264-3150, Fax: (607)264-3220
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