Sports Resource Group - Ordering Information

Name______________________________ Organization______________________________
Address__________________________________________________________________
City/State/Zip____________________________________________________________
Daytime Phone_____________________________email__________________________

Qty	Description	Price	Price
_________	Lactate Scout Analyzer - with bluetooth capability	$450	_________
_________	Lactate Scout Individual Testing Package	$560	_________
_________	Lactate Scout Small Team Testing Package	$770	_________
	Lactate Scout Academic Testing Package	$995	_________
_________	Lactate Scout Large Team Testing Package	$1625	_________
_________	Lactate Scout Test Strips - vial of 24	$50	_________
_________	Lactate Scout Test Strips - 3 + boxes (Varies by quantity - see prices)	$	_________
_________	Universal lancet device - compatible with B-D lancets but not SoftClix lancets	$15	_________
_________	B-D Lancets - 100 lancets	$10	_________
_________	Control Solutions high and low	$20	_________
_________	SoftClix Lancet Device	$35	_________
_________	SoftClix Lancets - box of 100	$14	_________
_________	Single Use Lancets - 100 lancets - no device required	$22.50	_________
_________	Lactate CD-ROM	$40	_________
	Shipping and Handling	See below	_________
	Total Cost		_________

Prices subject to change without notice. All orders are final. Warranty for analyzer is one year

Credit Card - We accept American Express, MasterCard, Visa and Discover.

Card Number _________________________________________ Expiration ___________

Signature___________________________________________Security Code________________

Purchase Order (US/Canadian Universities or Hospitals only)_______________

Shipping Cost Guidelines

$12.50 for shipments of up to 6 vials of test strips. Home residence - add $2.50. Remote area - add $2.50
$16.00 for shipment of 7-15 boxes of test strips. Home residence - add $2.50. Remote area - add $2.50
$20.00 for shipment of Individual packages and 16-30 boxes of test strips. Also used for shipment of Analyzer with other products except Safety Lancets. Home residence - add $2.50. Remote area - add $2.50.
$25.00 for shipment of Small Team and Academic package. Home residence - add $2.50. Remote area - add $2.50.
Shipping cost of Large Team package is $35.00. Home residence - add $2.50. Remote area - add $2.50
International shipping estimates will be provided on request. To Canada it is usually $30-$55 depending upon weight and location. Generally it is $50-$80 to Western Europe depending upon the weight and destination. Shipment to other areas in Europe will be provided on request. Shipments to Asia, Australia, South America and Africa will be based on country and weight. Changes in the exchange rate of the dollar and fuel costs have increased international shipping costs in the last year.
US mail - for CD-ROM $6.

Print this page, fill in the necessary information and fax to 1-914-741-5623.

Questions, Comments and Ordering Information:
1-800-462-2876 (U.S.A. and Canada)
1-914-747-8572 | 1-914 -741-5623 (fax)

Send email to: sales @ lactate.com