Alchem Incorporated
314 East 195th St.
Euclid, Ohio 44119
alchem@en.com
Ship To:
Name ________________________________________________________
Address ________________________________________________________
City, State, Zip ________________________________________________________
Phone (optional) _______________________ e-mail__________________________


Description: Quantity: Price: Total:
___________________________________________________ ______ _________ _________
___________________________________________________ ______ _________ _________
___________________________________________________ ______ _________ _________
___________________________________________________ ______ _________ _________
Order Total: _________

Prices On Shipments Within The US: All prices are in US dollars. Quoted prices include local tax and shipping for orders from Ohio and other parts of the United States.
Prices On Shipments Outside The US: Foreign customers use the lower price (not including postage) and add international shipping charges. Look here to calculate the Global Parcel Air charges.
Payment On Shipments Within The US: Payment may be in the form of a personal check, money order, or credit card via PayPal. We are unable to take credit card payments over the phone.
Payment On Shipments Outside The US: Foreign customers must pay by international money order (drafts) in US dollars available at most banks or post offices, or by credit card via PayPal (where available). We are unable to take credit card payments over the phone. Cash is acceptable if payment is in US currency. We cannot accept personal checks issued by banks outside the US. Additionally, we cannot be responsible for import duties, taxes, and related fees. Foreign customers should contact their local customs departments for these rates prior to ordering.

Print or otherwise copy this page and mail it to the above return address along with payment. Allow up to two weeks for delivery. Foreign orders may require up to five weeks for surface delivery.