Wagner Instruments force measurement gages; door testing, spring testing, pull testing, push testing, crane scales, and more

Please complete the Express Order Form and click SUBMIT
or
Print, complete and Fax to + 203-698-9696.
A representative will contact you shortly using the contact information you provide.


WAGNER INSTRUMENTS - Quotation Request & Order Form
POB 1217 • GREENWICH CT 06836-1217 — 203-698-9681 / Fax: +203-698-9696
Click SUBMIT to email the form to sales@wagnerinstruments.com
     
Request For Quotation       Express Order Form
Bill To
Name* :
Date* :
Company/Other* :
Tel* :
Address/Street* :
City* :
State* :
Country* :
Mail Code* :
Email* :
Fax :
** Foreign orders must call +01 203-698-9681 to supply credit card information. **
Ship To
Name* :
Date* :
Company/Other* :
Tel* :
Address/Street* :
City* :
State* :
Country* :
Mail Code* :
 QTY   MODEL   DESCRIPTION   PRICE (OFFICE ONLY)   TOTAL (OFFICE ONLY) 
Show More Product Fields
Payment
New Account
Net 30 Days
Bank Funds Transfer
Advance Check
Credit Card
*New accounts are opened with a minimum of $500 order; for orders less than $500 we will ship with advance payment by credit card, check or bank funds transfer
 
Credit Card Type:
Mastercard
Visa
American Express
Card Number* :
Expiration* :
Name* :
Security Code* :
** For security purposes, all foreign orders must call +01 203-698-9681 to supply credit card information. **
Shipping Instructions
UPS:
GROUND
3 DAY
2 DAY
NEXT DAY 3:00 PM
NEXT DAY 10:30 AM
NEXT DAY 8:00 AM
FEDEX:
3 DAY
2 DAY
NEXT DAY 3:00 PM
NEXT DAY 10:30 AM
NEXT DAY 8:00 AM
INTERNATIONAL UPS & FEDEX:
PRIORITY / EXPRESS 1-3 DAYS
ECONOMY / EXPRESS 3-5 DAYS
FREIGHT COLLECT - Provide Account Number:
Comments:
Please do not put financial information such as credit card numbers in this field.
Send copy to my email address