Contact us at:    
 Whitehouse Scientific Ltd, Whitchurch Road, Waverton, Chester, CH3 7PB, UK  
Tel: +44 (0) 1244 33 26 26       Fax: +44 1244 33 50 98     email:  Orders@WhitehouseScientific.com

 

     ORDER FORM   
Complete the form below to place an instant order. Fields marked * are required.

 

This site uses 128 bit encryption.  Credit card orders are welcomed.  If you do not wish to send your card details over
the internet your order can be made even more secure via a Fax Back Form. 
Simply quote Fax Back Form in the  'Any Other Text' box and leave the credit card section blank.

 

Contact Details:

Name*
Company*
Telephone*
E-mail*
 

Ship to: 

Name (FAO:) 
(if different from above)
Company
(if different from above)
Address*
Zip/Postcode*

 

Country*
Telephone*
Fax 
E-mail*
 

Request a Catalogue:

 

Order Details:

Purchase Order No.
  

Item
1

Cat No. 

 Quantity

(set)

Description (optional)
 (eg 1-1mm Polydisperse 0.5g per bottle)


2

Cat No. 

 Quantity

Description


3

Cat No. 

 Quantity

Description


4

Cat No. 

 Quantity

Description


5

Cat No.

Quantity

 Description

If you wish to purchase any further items 
please list them in the 'Any Other Text' Section.

 

VAT / Tax Number:
If you are ordering from outside the EC please enter 'NON EC'

   

Credit Card Details:
 This site uses 128 bit  encryption.  If you do not wish to send your card details over the internet your order can be made securely via a Fax Back Form.  Simply quote Fax Back Form in the 'Any Other Text' box and leave this section blank.

Name as it appears on card
Card Type e.g. Visa, Amex
Card Number    
Expiry (mm/yy)
Address associated with card
PLEASE SUPPLY YOUR 3 DIGIT  SECURITY NUMBER (4 DIGIT IN THE CASE OF AMEX) IN THE 'ANY OTHER TEXT' BOX BELOW.
 

Delivery Options:

Please check one of the boxes below to specify delivery
 

Registered 1st Class Post
UK WORLDWIDE
0-100g    = £3
100-500g = £7
500g-1kg = £9

1kg+ will be sent by courier = £12


 

0-100g    = £6  (€8, $10)
100-500g = £10  (€11, $15)
500g-1kg = £20  (€25, $29)
1-2kg = £25  (€28, $36)
2kg+ = priced individually
 
Approximately 7-10 working days

Priority Courier
Freight paid by Whitehouse and added to invoice
 
0-500g = £35 (€40, $55)
500g-1kg = £45 (€55 $70)
1kg+ = priced individually

USA = 2-3 working days   Europe = 2-3 working days  
World = Approx 5 working days
 
Courier to Europe (Road Service)
Freight paid by Whitehouse and added to invoice

 Parcels up to 30kg = £20 (€25)

Europe Only. Delivery 2-5 working days (depending on exact location)
 
Ship on Own Account  
Freight charges billed to the account specified below:
e.g. FedEx / UPS / DHL etc.  Account No:

 
   
Please tell us how
you heard about us* 

eg Search Engine, Advert/article (please name the magazine/web site), Word of Mouth etc. 

Any Other Text 
 - Additional Items
- Mondisperse Mix Set?
- 3 digit security number
- Enquiries
- Special delivery instructions
- Any other text!

  

 Thank you for ordering from Whitehouse Scientific!  
Confirmation of your order and expected delivery date will be sent shortly.

This site uses 128 bit encryption.  Credit card orders are welcomed.  If you do not wish to send your card details over the internet your order can be made even more securely via a Fax Back Form.  Simply quote Fax Back Form in the  'Any Other Text' box and leave the credit card section blank.

 
Alternatively contact us at:    
Whitehouse Scientific Ltd, Whitchurch Road, Waverton, Chester, CH3 7PB, England

Tel: +44 (0) 1244 33 26 26   Fax: +44 (0) 1244 33 50 98  email: orders@whitehousescientific.com