CaluTech Mail-In - Fax Order Form

CALUTECH MAIL-IN or FAX ORDER FORM

Click here to order online instead with a credit card

MAIL THIS FORM TO: (OR FAX IT, SEE BOTTOM)
CALUTECH
ATTN SALES
15646 S 70th CT
Orland Park, IL 60462-5106

Description	Price	Select Quantity
CONFUSED? CLICK ANY LINK BELOW TO SEE WHAT IT IS. THIS WINDOW WILL REMAIN OPEN FOR YOUR CONVENIENCE.
CaluTech Blue 72 Watt UV Air Purifier ( Special! )	$391.20 USD
CaluTech Mini-Blue 36 Watt UV Air Purifier	$351.96 USD
CaluTech DSL 72 Watt UV Air Purifier	$461.30 USD
Airtronics 1 Lamp 36 Watt UV Air Purifier	$215.40 USD
Blueray 2 Lamp 120W HIGH OUTPUT UV Air Purifier	$588.72 USD
AirBox Smoke Eater UV Air Purifier	$845.00 USD
Snapcat Photocatalytic Accessory SET for ALL air purifiers	$79.95 USD
	ORDER TOTAL:
ILLINOIS RESIDENTS ADD 9.25% SALES TAX	SALES TAX :
ADD SHIPPING OF $9.73 FOR OXYCAT ONLY ORDERS, SHIPPING IS FREE ON AIR PURIFIERS OR AIR PURIFEIRS WITH OXYCAT	SHIPPING:
	FINAL TOTAL:

NAME: 10 DIGIT PHONE NUMBER:

ADDRESS: ADDRESS: (OPTIONAL)

CITY: STATE: ZIP CODE:

EMAIL ADDRESS TO SEND TRACKING NUMBER AND RECEIPT TO:

Makes check/M.O. payable to CALUTECH or enter credit card information below:

NAME ON CREDIT CARD:

CARD # : - - - EXP. CCV CODE:

PRINT & MAIL THIS ORDER FORM TO THE ADDRESS ON THE TOP OF THE PAGE. IF PAYING BY CREDIT CARD YOU CAN ALSO FAX IT INSTEAD TO: 708-614-0393 (WE EMAIL CONFIRMATION)