SUBMIT TO:
VOIGT GLOBAL DISTRIBUTION INC
P.O. Box 1130
Lawrence, Kansas 66044-8130 USA

                THIS DOCUMENT IS FOR ORDERS WITH CASH PAYMENT SENT BY THE US POSTAL SERVICE ONLY
NOTICE THE FOLLOWING:
1). Any order for chemicals must be accompanied with a completed contract disclaimer if not previously submitted. CLICK HERE
2). The shipping information on your order must match the address on the contract discliamer.
3). All payments must be in US Dollars. We do not accept foreign currency. Payments accepted by mail include certified cashiers checks
and money orders only (drawn on a US or Canadian bank ). WE DO NOT ACCEPT PERSONAL CHECKS OR COD.
Item No.  Quantity Description Price Each Total USD
         
         
         
         
         
         
         
         
         
         
         
         
Goods Subtotal  
Kansas Sales Tax (7.3%)  
Importation Taxes ( for customers outside of the USA - must be confirmed in advance)  
Requested Shipping Method (must be confirmed in advance)  
Shipping Charges (must be confirmed in advance)  
TOTAL  

SHIPPING & CONTACT INFORMATION

Recipient Name:
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