ONLINE ORDER FORM

First Name		Last Name
Title
Phone
FAX
E-mail

QTY	PART NUMBER	UNIT PRICE	TOTAL
		Please Select $99.50 - 10/pk, Mini, Plastic $24   - 2/pk, Mini, Plastic $176 - 6/pk, Large $66  - 2/pk, Large $150 - 8/pk, Mini, Glass $40   - 2/pk, Mini, Glass Misc. - Enter Price to Right
		Please Select $99.50 - 10/pk, Mini, Plastic $24   - 2/pk, Mini, Plastic $176 - 6/pk, Large $66   - 2/pk, Large $150 - 8/pk, Mini, Glass $40   - 2/pk, Mini, Glass Misc. - Enter Price to Right
		Please Select $99.50 - 10/pk, Mini, Plastic $24   - 2/pk, Mini, Plastic $176 - 6/pk, Large $66   - 2/pk, Large $150 - 8/pk, Mini, Glass $40   - 2/pk, Mini, Glass Misc. - Enter Price to Right
		Please Select $99.50 - 10/pk, Mini, Plastic $24   - 2/pk, Mini, Plastic $176 - 6/pk, Large $66   - 2/pk, Large $150 - 8/pk, Mini, Glass $40   - 2/pk, Mini, Glass Misc. - Enter Price to Right
		Please Select $99.50 - 10/pk, Mini, Plastic $24   - 2/pk, Mini, Plastic $176 - 6/pk, Large $66   - 2/pk, Large $150 - 8/pk, Mini, Glass $40   - 2/pk, Mini, Glass Misc. - Enter Price to Right

Buffers and Protein Standards.   New low prices for 2008!

$5/5 Trays-Lids

	Running Buffer,1Liter	Sample Buffer		Protein Standard
Tris-Glycine	$22 (10X)	$12 (2X)	Broad Range	$90/1125uL
Tris-Glycine-SDS	$22 (10X)	$12 (2X)	Prestained	$120/1050 uL
Tris-Tricine	$63/ (5X) Upper	$12 (2X)
	$35 (5X) Lower		Staining Trays	$5/5 Trays-Lids
TBE	$35 (10X)	$12 (2X)

When would you like to receive your purchase?

Please choose a shipping method.

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	SHIP TO ADDRESS
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	BILL TO ADDRESS
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Do you wish to use a credit card? 

Check and we will contact you for the card information.   You may also call us with the credit card number and expiration date or fax the credit card number to Jule, Inc., Fax 1-203-878-7448