AMI Order Form

Toll-Free Order Line: 800-635-2452

Order via Major Credit Card by

1. Adding product items to our Secure Online Shopping Cart then

2. Clicking on View Cart to Review Items Chosen and Proceed to Checkout.

To find a distributor of our AMITemp® brand thermometers or other products, please call, fax, or e-mail us at findalocaldealer@ameditech.com.

Or, using the following form:

Complete, print, and mail this form in an envelope with Check or Visa/MasterCard/Amex/Discover credit card information to address at bottom; OR
Print & Fax completed form to 718-672-8501 anytime, day or night, with Visa/MC/Amex/Discover credit card information; OR
In the U.S. only, phone 800-635-2452 or from anywhere in the world, phone 1-718-672-7150 9:30am to 5:30pm Eastern Standard Time, Monday through Friday, with Visa/MC/Amex/Discover orders.

Advanced Meditech International Order Form

Advanced Meditech International, Inc.

86-38 53rd Avenue, Suite 100

Flushing, NY 11373 USA

Tel: (718) 672-7150 Fax: (718) 672-8501

E-mail: info@ameditech.com

Customer Information

Physician or representative:

Practice/Clinic/Org Name:

Street Address:

City, State, Zip:

Country:

Phone:

Fax:

Email address:

Ordered by (name):

Payment Method

Check (made payable to Advanced Meditech International)

Please bill me* - Net 30

*(Existing accounts or satisfactory D&B rated firms, universities, & government agencies only)

If using a PO #, please fill out this order form.

Visa MasterCard American Express C.O.D. (add $9.50 fee)

Card number:

Expiration date:

Signature:

Items Ordered

Item #	Qty.	Description	Unit Value	Total Value







Subtotal:
In New York ONLY, add applicable State SALES TAX:
$10.50 SHIPPING AND HANDLING; C.O.D. Orders ADD $9.50 More (U.S. only) International Orders ADD $28.50 More
ORDER TOTAL:

In most cases, we ship less than 24 hours after receiving your order with payment. Shipment is via UPS 2nd-Day Air or FedEx Express Saver Service; to AK & HI via FedEx for $24.50; to International destinations via International Express Mail (for a charge of $39.00). If you have special shipping needs or requirements, please contact our order department to make alternative arrangements.

Comments or Special Instructions

For comments or suggestions please use our feedback dialog, or contact: webmaster@ameditech.com