CN-383-H International Calibration Cotton Standard Order Form

REPRODUCE LOCALLY

UNITED STATES DEPARTMENT OF AGRICULTURE

AGRICULTURAL MARKETING SERVICE

COTTON PROGRAM

DATE:

ORDER #

DO NOT WRITE IN THIS SPACE

Standardization & Engineering Branch

3275 Appling Rd.

Memphis, TN 38133

Telephone: (901) 384-3030

Fax: (901) 384-3032

E-mail: [email protected]

International Calibration Cotton Standard Order Form

ITEM

DESCRIPTION

Stelometer

Fibrograph

Micronaire

QUANTITY

DOLLAR

1/8" Gage

Elongation

2.5%

50%

AMOUNT

Grams/Tex

(Percent)

Span Length, in.

Span Length, in.

E3

C - XX

American Upland

XX.X

X.X

X.XX

X.XX

X.XX

E11

L - X

American Upland

XX.X

X.X

E12

M - X

American Pima

XX.X

X.X

TOTALS

Check Here To Be Included in the Semi-Annual ICCS Check Test

Exact test values for each calibration cotton are shown on the label of each sample. These values are established by designated laboratories. The samples are blended card web.

PRICES: The price of each 1/2 pound sample includes packaging, handling and delivery where stated. Fumigation (if needed)is a minimum of $X.XX per order. Phytosanitary Certificate (if needed) is $XX.XX.

PAYMENT MUST BE SUBMITTED WITH ORDER. WE DO NOT ACCEPT LETTERS OF CREDIT.

CHECK MUST BE DRAWN ON A U.S. BANK PAYABLE TO: USDA, AMS, COTTON PROGRAM.

ACCT.NO.

EXPIRES

SIGNATURE

UNITED STATES

EXPORT

$XX.XX

$XX.XX

SHIP TO (print or type)