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1.920.337.1640
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Geochron Order Form

This form is furnished to assist you in placing your order for a Geochron Global Time Indicator. It will save you time in making your selections.

If you have any questions during this order, please contact us.

1. Shipping & Billing Information (required fields marked with an "*):

a. Billing Name and Address:
*Name:
*Address:
*City:
*State:
Zip Code:
*Country:
*Phone:
*Email Address:

b. Ship to Address (if different than above):

Name:

Address:

City:

State:

Country:

Phone:

2. Please Select your Geochron model from section A or B, below:

A. To purchase a Standard of Original Geochron Model, please complete this Section A.

1. Model:

2. Finish Type:
The Standard and Original Geochron Models are Surface Mounted and available with either the standard finish or you can have an upgrade finish for the additional charge stated below.

Standard Laminate Finish Options:

OR

Wood Upgrade Finish Options: (Additional Costs as displayed in the drop-down box)

B. If you are interested in the Executive or Boardroom Model, please complete this Section B.

1. Model:

2. Wood Finishes:

The Executive & Boardroom Models, offer a selection of Wood finishes.

Finish Options
Border Trim

3. Optional Items (available for all Geochron Models. Please note that the following items may require an additional fee).
	Engraved Presentation Plaque
	GEOCHRON Flush Mount Bracket Kit (Recessed Mounting, includes receptacle)
	Recessed Clock Receptacle (Blade Plug Configuration) for surface mount installation
	Surface Mount Security Pan (Public Display Hardware)
	Service Manual (Fully Illustrated)
	Product Knowledge Video
	Spare Lighting Kit
	Display Stand

4. Electric Current:

Volts

Cycles

(Standard US: 110 volts , 60 cycles)

5. Cord Style:

6. Special Instructions:

7. Payment Options (All Geochron Orders must be paid in Advance)

					Money Order
					Check (Enclosed)

Credit Card Number	Expires
Name of Card Holder
Daytime Phone #

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+1.920.337.1640 - USA
+1.920.337.1640 - International
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| HOMEPAGE | Terms and Conditions | Page Updated: November 1, 2007 12:00 PM.