REPRODUCE LOCALLY |
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UNITED STATES DEPARTMENT OF AGRICULTURE |
AGRICULTURAL MARKETING SERVICE |
COTTON & TOBACCO PROGRAMS |
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DATE |
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ORDER # |
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Standardization & Engineering Branch |
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DO NOT WRITE IN THIS SPACE |
3275 Appling Road |
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Memphis, TN 38133 |
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Telephone: (901) 384-3030 |
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Fax: (901) 384-3039 |
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E-Mail: [email protected] |
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HVI Check Test Program - International Order Form |
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ITEM |
DESCRIPTION |
UNIT PRICE |
QUANTITY |
DOLLAR AMOUNT |
1 |
Complete Program |
12 Months |
$XXX.XX |
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$ |
1 |
Pro-rated Program |
1 Month |
$XXX.XX |
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First Year Participation |
Shipping |
Amount based on destination |
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Type of HVI Instrument |
TOTALS
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$ |
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The cost of the program to new international participants is free the first year, (excluding shipping). After you return this order form to us, we will notify you of the shipping charges. |
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The official cost of the program is $XXX.XX for the check test period of August through July . The $XXX.XX must be paid in advance in U. S. dollars with the check drawn on a U. S. bank, payable to USDA AMS Cotton Program. If participation starts after August, the cost will be pro-rated at $XX.XX per month. Payment can also be made by credit card. Letters of credit are not accepted. |
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ACCT NO. |
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EXPIRES |
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SIGNATURE |
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SHIP TO (print or type) |
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