FAX-order form                        MICRO TECH LAB

Please dial our FAX number +43-316-231 123 3200

Delivery Address
Name
First name
Company
Street
Zip Code, Town
Country 
Phone
Fax
Email

Invoice Address
Only necessary when delivery address and invoice address are different
 
Name
First name
Company
Street
Zip Code, Town
Country 
Phone
Fax
Email

Choose mode of payment 
 
VISA Card
Master Card/Eurocard
Diners Club

Card holder:

Card number:

Expiry date:
Invoice (Proforma Invoice by Pre-payment)

 
For EU (European Union): If you have a VAT (IVA, TVA) number, please indicate it in this field. Otherwise we have to charge the VAT in accordance to the law.

Our products are delivered by DPD, Priority parcel and EMS
 
WORLD_PRIORITY28World Priority parcel up to 2 kg (8-16 business days)

Euro 28,--
US $ 33.04
EUROPE_PRIORITYEurope Priority parcel up to 2kg (3 to 7 business days)

Euro 34,--
US $ 40.12
EUROPE_PRIORITY34Europe Priority parcel up to 2kg (3 to 7 business days)

Euro 34,--
US $ 40.12
WORLD_PRIORITYWorld Priority parcel up to 2 kg (8-16 business days)

Euro 38,--
US $ 44.84
WORLD_PRIORITY49World Priority parcel up to 2 kg

Euro 49,--
US $ 57.82
Macroscope_EuropeEurope Priority parcel up to 10 kg (3 to 7 business days)

Euro 49,--
US $ 57.82
WORLD_UPS_59World Priority UPS parcel up to 2 kg (2-6 business days)

Euro 59,--
US $ 69.62
WORLD_UPS_69World Priority UPS parcel up to 2 kg (2-6 business days)

Euro 69,--
US $ 81.42
WORLD_UPS_79World Priority UPS parcel up to 2 kg (2-6 business days)

Euro 79,--
US $ 93.22
WORLD_PRIORITY5kgWorld Priority parcel up to 5kg (7-15 business days)

Euro 89,--
US $ 105.02
WORLD_UPS_89World Priority UPS parcel up to 2 kg (2-6 business days)

Euro 89,--
US $ 105.02
WORLD_USA_CanadaWorld Priority UPS parcel (USA and Canada )up to 2 kg (2-4 business days)

Euro 99,--
US $ 116.82
WORLD_UPS_99World Priority UPS parcel up to 2 kg (2-6 business days)

Euro 99,--
US $ 116.82
WORLD_UPS_120World Priority UPS parcel up to 2 kg (2-6 business days)

Euro 120,--
US $ 141.6
WORLD_UPS_129World Priority UPS parcel (2-6 business days)

Euro 129,--
US $ 152.22
WORLD_PRIORITY_129World Priority parcel up to 10kg (10-18 business days)

Euro 129,--
US $ 152.22
WORLD_UPS_139World Priority UPS parcel (2-6 business days)

Euro 139,--
US $ 164.02
WORLD_UPS_149World Priority UPS parcel (2-6 business days)

Euro 149,--
US $ 175.82
WORLD_UPS_159World Priority UPS parcel (2-6 business days)

Euro 159,--
US $ 187.62
WORLD_PRIORITY10kgWorld Priority parcel up to 10kg (7-15 business days)

Euro 179,--
US $ 211.22
WORLD_UPS_179World Priority UPS parcel (2-6 business days)

Euro 179,--
US $ 211.22
macroscope_worldwideWorld Priority parcel up to 10 kg (7-15 business days)

Euro 189,--
US $ 223.02
WORLD_UPS_350_macroscopeWorld Priority UPS parcel macroscope (2-6 business days)

Euro 350,--
US $ 413
For EU (European Union) VAT (IVA, TVA) not included

I order
pieces  ordering code Description...................................................... Price 
. . . .
. . . .
. . . .
. . . .
. . . .
. . . .
. . . .

Example:
1
#DA37LC LM Digital adapter with C-Mount thread                                     
Euro xxx.-- 

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