Qty. Catalog No. Description Unit Price Extension
✂
P.O. Box 219 • Batavia, IL 60510
Phone: 1-800-452-1261 Fax: 1-866-452-1436
E-mail: flinn@flinnsci.com
Web site: www.flinnsci.com
CHARGE TO: SCHOOL PURCHASE ORDER NO.:____________________
School Board, District, Institution
Street or Mailing Address
City State Zip Code
Area Code/Telephone No.
AUTHORIZED BY:__________________________________ DATE:___________________
Signature and Title
FAX TO 1-866-452-1436 or FOLD AT STARS, PLACE IN ENVELOPE AND MAIL
Remove Order Form By Cutting Along This Line
Use Other Side For
Additional Items
NOTE: If prepaying by check, please contact us for shipping charges. Any applicable living
or hazardous material surcharges will be invoiced. Contact us for freight charges for any
orders requiring truck shipment .
Shipping Charges
SUBTOTAL or TOTAL $
METHOD OF PAYMENT (if no school purchase order number is used):
Check or money order for $ __________
To place an order using Mastercard, VISA, Discover or American Express, please call 1-800-452-1261 or place your order online at flinnnsci.com.
SHIP TO:
School
Shipping Address — We cannot ship to a Post Office Box
City State Zip Code
Attention
Area Code/Telephone No. E-Mail Address
Name of teacher requesting these supplies
Order Form
/www.flinnsci.com
/flinnnsci.com
link