CN-383-I HVI Verification Cotton Order Form

REPRODUCE LOCALLY

UNITED STATES DEPARTMENT OF AGRICULTURE
AGRICULTURAL MARKETING SEVICE
COTTON AND TOBACCO PROGRAM
DATE:

Standardization & Engineering Division
3275 Appling Rd.
Memphis, TN 38133
Telephone:(901) 384-3030
Fax: (901) 384-3032
E-mail: [email protected]

ORDER #

DO NOT WRITE IN THIS SPACE
PAID BY CHECK NO.

AMOUNT

RECEIVED BY

DATE

HVI Verification Cotton Order Form
ITEM

STAPLE

HVI UHM
LENGTH in.

R1

30

0.93-0.95

R2

31

0.96-0.98

R3

32

0.99-1.01

R4

33

1.02-1.04

R5

34

1.05-1.07

R6

35

1.08-1.10

R7

36

1.11-1.13

R8

37

1.14-1.17

R9

38

1.18-1.20

DOLLAR
AMOUNT

QUANTITY
$

Totals:

$

Each HVI verification cotton comes with established values for length, uniformity index, strength and micronaire. Exact test values for each verification
cotton are shown on the label of each sample These values are established by designated laboratories. The samples are raw cotton.
PRICES: The price of each X pound sample includes packaging, handling, and delivery where stated. Fumigation (if needed) is a minimum of $XX.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 AND TOBACCO PROGRAM.
CHECK
VISA
MC
ACCT. NO.
SIGNATURE
EXPIRES
UNITED STATES
XXX.XX
………..….$XXX.XX
Surface Delivery

EXPORT

FOB Memphis…………..$

Request Quote for Air Freight Pre-Paid

SHIP TO (print or type )
CONTACT NAME

COMPANY NAME

STREET ADDRESS (necessary)
POSTAL BOX

CITY

PHONE

STATE, COUNTRY, AND ZIP CODE

E-MAIL ADDRESS

FAX

CN-383-I (12-06)

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CN-383-I (12-06)