Hand Soil Sampling Equipment Order Form Hand Soil Sampling Equipment Order Form All Prices in U.S. Funds Customer account number Customer name Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Contact name Email Address Phone Order date Shipping date JMC Sampling Handle JMC Back Saver Sampling Handle – PN001 Price: $349.00 Quantity: (with cleaning tool – up to 46”) Back Saver N-2, Handle/ Foot Pedal-PN003 Price: $133.00 Quantity: (with cleaning tool-up to 18”) AGVISE Plain “T” Handle Price: $73.00 Quantity: (1/2” pipe construction, with foot pedal -JMC tubes fit) JMC Sampling Tubes (for Back Saver Handle or Plain “T Handle) JMC 12'' PN 006 – 12'' sampling tube with wet tip, 0.668'' opening Price: $69.00 Quantity: JMC 12'' PN 007 – 12'' sampling tube with dry tip, 0.75'' opening Price: $69.00 Quantity: JMC 15'' PN 008 – 15'' sampling tube with wet tip, 0.668'' opening Price: $71.00 Quantity: JMC 15'' PN 009 – 15'' sampling tube with dry tip, 0.75'' opening Price: $71.00 Quantity: JMC 18'' PN 010 – 18'' sampling tube with wet tip, 0.668'' opening Price: $73.00 Quantity: JMC 18'' PN 011 – 18'' sampling tube with dry tip, 0.75'' opening Price: $73.00 Quantity: JMC 24'' PN 123 – 24'' sampling tube with wet tip, 0.668'' opening Price: $179.00 Quantity: JMC Accessories JMC Special Cleaning Tool – PN018 Price: $55.00 Quantity: (No leather pouch) JMC Special Cleaning Tool Leather Pouch – PN-042 Price: $16.00 Quantity: JMC Cleaning Brush – PN-131 Price: $16.00 Quantity: KHS Sampling Equipment KHS Soil Probe (Kleen Hole Spade) 8'' Sample Tube Price: $130.00 Quantity: (Tip not replaceable) Add 15% for Canadian locations Shipping cost Applicable state and local taxes Total Cost AGVISE sampling equipment can be viewed at www.agvise.com No discount on soil sampling equipment – Equipment shipped by UPS, FedEx, PUROLATOR – Prices subject to change without notice
