SENSING-SAF-START® ORDER FORM
Print and fax this form to
jds PRODUCTS, INC. AT THEIR
TOLL FREE FAX #800-486-4993
(NOTE: Our international fax number is: 916-933-4993)

PLEASE NOTE: WE ARE REGISTERED IN THE GOVERNMENT’S SYSTEM FOR AWARD
MANAGEMENT (SAM) WITH OUR CAGE CODE #63752 AND DUNS #076363696


   Company Name: 
Ship to Address:  
   Ship to City: 
  Ship to State: 
    Ship to Zip: 

Your Purchase Order Number (if you need): 
 Phone #:  Fax #: 

    Date of Order:
Order Complete by:
Quantityjds Model #Price EachTotal
 1996$98.00 F.O.B. destination (in 48 states) 
 1997$98.00 F.O.B. destination (in 48 states) 
 1998$98.00 F.O.B. destination (in 48 states) 
 1999 (240-volt)$98.00 F.O.B. destination (in 48 states)          
These prices include the freight, so this is the order total 
Your VISA/MC#:
Security Code:
Expiration Date:
Name on Card:

All prices include the freight, so the total will be: Quantity  X $98.00

All items are shipped from stock to one week maximum.

Your charge slip copy and an invoice will be sent to you with the shipment or in the mail to your attention. If you have any questions regarding this order, you can call me at 916-933-2699 or safstart@aol.com.

Dave Jacobs
jds Products, Inc.

Click to Print

Home  |   Products   |   Order   |   Technical Data   |   Safety Standards   |   Contact