Vortex Order Form

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We are currently accepting orders for driers.

*The form below is temporarily out of order, however we are still accepting orders for driers.  Please email our David Werner dmw5071@psu.edu with the information requested below to order vortex driers. 12/04/08

Sorry for any inconvenience, the form below should be fixed shortly.

Please allow 3-4 weeks for delivery.

You will be notified if yours will take longer than the date you request.

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Please provide the following contact information:

Name
Title
Organization
Street Address
Address (cont.)
City
State
Zip
Work Phone
FAX
E-mail

How many Vortex Dryers would you like to order?

@ $85 each

Would you like to add additional hair dryers to your order?

Yes No

If answered yes above how many extra dryers?

@ $15 each

Desired delivery date:

-- mm/dd/yy
(This is just a time frame for us to work by, we will try our best to fulfill your order on time. Normal delivery is 2 weeks from receipt of payment.)

Please select the payment method you wish to use:

Business Check Personal Check Money Order

Cost of the Vortex Dryers are $85 (includes shipping and blow dryer) each plus another $15 per extra hair dryer.

Order will not be sent until payment is received.
- Please make checks payable to: Penn State
- Please put “Vortex” on memo line of check

Please send payment to:

Penn State Pullers
        c/o Vortex Dryer
        249 Ag Engineering Building
University Park, PA 16802

Additional Comments:

Insert your comments here

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Made by: Andrew Prusinowski
2005 [Agricultural Systems Management]. All rights reserved.
Revised: 12/04/08