Order form

Prices are quoted in Canadian dollars (CAD).
Canadian customers are charged taxes where appropriate.
Shipping service not included.
Shipping at your risks and expenses.
Prices are subject to change without notice.
There is a $20 service charge for payment by Wire Transfer.
An administration fee of $25 will be applied to every order. Avoid the administration fee by ordering through the NRC Virtual Store.

Quantity of products to order

Name	Price	Quantity
CACB-1	$165	Quantity of CACB-1
CASS-5	$200	Quantity of CASS-5
DOLT-4 Temporarily out of stock	$285	Quantity of DOLT-4
DORM-4	$285	Quantity of DORM-4
FEBS-1	$220	Quantity of FEBS-1
HISS-1	$190	Quantity of HISS-1
LUTS-1	$200	Quantity of LUTS-1
MESS-3	$225	Quantity of MESS-3
MOOS-2	$250	Quantity of MOOS-2
NASS-6	$175	Quantity of NASS-6

Name	Price	Quantity
NIMS-1	$300	Quantity of NIMS-1
ORMS-5	$165	Quantity of ORMS-5
PACS-2	$225	Quantity of PACS-2
SELM-1	$275	Quantity of SELM-1
SLEW-3	$190	Quantity of SLEW-3
SLRS-5	$200	Quantity of SLRS-5
SOPH-1	$150	Quantity of SOPH-1
TORT-2 Temporarily out of stock	$285	Quantity of TORT-2
RM8414	$115	Quantity of RM8414

Billing Name:(required) Billing Telephone:(required) Billing Email:(required) Billing Fax: Billing Company:

Billing Address: Billing City: Billing Province/State: Billing Country: Billing Postal/Zip Code:

PO #:

Note: Your PO number is recorded for your convenience only. The terms of the NRC Sales Agreement apply to this transaction.

Special Goods Importation Number
(MAF #, Tax ID #, VSP #, etc.):

Shipping Name: Shipping Telephone: Shipping Email: Shipping Fax: Shipping Company:

Shipping Address: Shipping City: Shipping Province/State: Shipping Country: Shipping Postal/Zip Code:

Special shipping instructions:

FedEx account number (if applicable):

Other courier (name and account):

Payment method:

For sales inquiries:

Hala Bakas, Administrative Assistant
Telephone: 613-993-2359
Fax: 613-993-8915
Email: CRM-MRCInorganic-Inorganiques@nrc-cnrc.gc.ca