*First Name       Last Name

Company Purchase Order

*Mailing Address

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Contact Information:

*Telephone No:   FAX No: (Include Area Code)

*Email Address: (include entire email address)

Bill to: (complete only if different from above)

*First Name:   *Last Name:

*Mailing Address:

*City:    State: Select One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist. of Columbia Florida Georgia Guam Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming    *Zip


  Select one ONLY method of payment

    MasterCard          Visa           Amer Exp 
            
  Name on Card:

  Card No:   Re-enter CC No. for accuracy 

  Expiration Date:    ex:  03/04  

*Shipment will be made upon credit card verification and charges made to your account upon shipment of order.

   Business or personal checks - New customer orders, with no prior payment history, will be held for 7 working days to ensure bank account clearance verification. 

   Net 30 days to established accounts. If you do not currently have an account and wish to establish one with Miller Thermometer Co., Inc., click here to contact our Customer Service Department for a credit application and credit approval.  Call us at (800) 922-3124 or (269) 621-3124, or send a FAX (24-hr fax line) at (269) 621-3127. Office hours are from 8:00 a.m. to 5:00 p.m. Eastern Standard Time.  A reply to your email will be made as soon as possible or within 24 hours from the time of being sent.  Established accounts will receive immediate shipment of orders.

NOTE:  Payments not made within the normal NET 30 day terms will be subject to an additional finance charge of at least 18% Annual Finance Charge (1.5% per month) or the highest amount allowed by law, at our discretion. 

   COD  - Click here to email our Customer Service Department for order total, including COD shipping charges at (800) 922-3124 or (269) 621-3124.  Office hours are from 8:00 a.m. to 5:00 p.m. Eastern Standard Time.  A reply to your email will be made as soon as possible or within 24 hours from the time of being sent.  

Please call us for special shipping fees, such as UPS Next Day Air, COD, etc, or shipping by other means.