AGVISE Laboratories

Hand Soil Sampling Equipment Order Form 5-15-2015

AGVISE hand soil sampling equipment can be viewed at www.agvise.com

All Prices in U.S. Funds (Fax orders to 701-587-6013 or email to )

Customer Account Number______

Customer Name______

Shipping Address (required)______

City______State/Prov. _____ Zip code/Postal code______

Contact Name______Phone # (___)______

Order Date______Shipping Date______

JMC Sampling Handle

JMC Back Saver Sampling Handle - PN001 (with cleaning tool – up to 46”) $345.00 ______

JMC Back Saver N-2, Handle/ foot pedal-PN003 (with cleaning tool-up to 18”) $132.00 ______

AGVISE Plain “T” Handle (1/2” pipe construction, with foot pedal -JMC tubes fit) $72.00 ______

JMC Sampling Tubes (for Back Saver Handle or Plain “T handle)

JMC 12” PN 006 – 12” sampling tube with wet tip, 0.668” opening $68.00 ______

JMC 12” PN 007 – 12” sampling tube with dry tip, 0.75” opening $68.00 ______

JMC 15” PN 008 – 15” sampling tube with wet tip, 0.668” opening $70.00 ______

JMC 15” PN 009 – 15” sampling tube with dry tip, 0.75” opening $70.00 ______

JMC 18” PN 010 – 18” sampling tube with wet tip, 0.668” opening $72.00 ______

JMC 18” PN 011 – 18” sampling tube with dry tip, 0.75” opening $72.00 ______

JMC 24” PN 123 – 18” sampling tube with wet tip, 0.75” opening $199.00 ______

JMC Accessories

JMC Special Cleaning Tool - PN018 ( no leather pouch) $54.50 ______

JMC Special Cleaning Tool leather pouch - PN-042 $25.00 ______

JMC Cleaning Brush - PN-131 $16.00 ______

KHS Sampling Equipment

KHS Soil Probe (Kleen Hole Spade) 8” sample tube (tip not replaceable) $130.00 ______

Add 10% for Canadian locations _____

No discount on soil sampling equipment Shipping cost _____

Equipment shipped by UPS, FedEx, PUROLATOR Applicable State and local taxes _____

Prices Subject to change without notice Total cost _____