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	$385	Quantity of DOLT-4
DORM-4	$385	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 Temporarily out of stock	$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 No longer available, PACS-3 will be available in September	$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-3	$385	Quantity of TORT-3
RM8414	$115	Quantity of RM8414

Billing information

Billing First name: (required) Billing Last name: (required) Billing Telephone: (required) Billing Email: (required) Billing Fax: Billing Company/affiliation:

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

Ordering information

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 information (if different from the billing)

Shipping First name: Shipping Last name: Shipping Telephone: Shipping Email: Shipping Fax: Shipping Company/affiliation:

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

Special shipping instructions:

Mode of shipping: Courier services are used for all foreign shipments.

FedEx account number (if applicable):

Other courier (name and account):

Payment information

Payment method:

All personal information created, held or collected by this department is protected under the Privacy Act. This means that you will be informed of the purpose for which it is being collected and how to exercise your right of access to that information. You will be asked for your consent where appropriate.

Contact

For sales inquiries:

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