A1 Liquid Metal Ltd

Please fill out the form below with your details and the details of your order and payment. Once complete, please click the "Print Order" link and print it out, and then post or fax it to us for fulfillment. Note that your order will only be transmitted to your printer, and not to our servers; therefore no encryption is required.

We can accept cheques as a method of payment for postal orders. In this instance, please leave the credit card details blank and enclose a cheque (crossed with "A/C PAYEE ONLY") with your order.

PLEASE NOTE: for your convenience, subtotals and totals are automatically calculated as you fill out the form. While all efforts are made to ensure accuracy, A1 Liquid Metal are not responsible for errors and encourage you to verify all calculations and totals prior to sending us your order.

A1 Liquid Metal Ltd Order Form
Customer Details
Name
Email
Postal Address
Delivery Address
Town/City
Postal Code
Telephone (Business)
Telephone (After hours)
Fax
Payment Details
Card Type
Card Number
Name on Card
Expiry Date (MM/YY)
Products
Product Quantity Unit Price Subtotal
Lab-metal (250mL) $35.90  
Lab-metal (500mL) $59.35
Hi-Temp Lab-metal (250mL) $83.65
Hi-Temp Lab-metal (500mL) $154.50
Lab-solvent (500mL) $15.40
Lab-solvent (1 litre) $22.65
Heat Block (500mL) $30.20
Freight   0
Rural delivery? (add $3.65)   0
Subtotal 0
Plus GST @ 12.50% 0
Order Total 0

 

 

Please mail this completed form to:
   A1 Liquid Metal
   2/5 Joval Place
   Wiri
   Auckland

 

Or fax to: 09 262 0280

Thanks! We look forward to fulfilling your order.