Radon Supply Order Form

If your browser supports Javascript (IE 3.0+ or
Netscape 3.0+), you can use this interactive order
form to order your radon control supplies.

rainbow line

Here's an online form to order Infiltec radon control products. This interactive form will compute your total bill and send the data to Infiltec. Our minimum shipping charge covers most orders, and we will let you know if the actual shipping charge is higher on your order.

Please pick your products from the drop-down list, then type in a quantity and click another field, or press Tab. When you have calculated your total bill, please fill in the ship to and bill to addresses and email the information to Infiltec by clicking the submit button at the bottom of the page. If you want to go back to the online catalog before you submit your order, do not press the "order" link again from the catalog page or you will erase all of your previous input. Use the BACK and FORWARD buttons on your browser instead.

Infiltec does not have secure credit card processing online yet, so we will have to give you the exact shipping charge and total price over the phone (toll free 888/FIX-RADON or 888/349-7236) and we can get billing information such as credit card numbers.

Product	Qty	Unit Price	Ext Price

	Subtotal:
Click here if you live in VA	5.0% Sales Tax:
	Minimum UPS Ground Shipping:
(more below)	Grand Total:

Bill To:

Email address:

Name:

Company:

Street line1:

Street line2:

City, State, Zip:

Work Phone:

Home Phone:

Method of Payment: MC/VISA/AMEX | COD ($8.50 UPS fee) | Prepaid | Established Account
(we will contact you to arrange payment)

Ship To:

Name:
Company:
Street line1:
Street line2:
City, State, Zip:

Preferred UPS Shipping Method: Ground | 3 Day | 2 Day | Next Day | Other or don't know
(we will contact you with the shipping cost)

Your Comments on your order (shipping, payment, etc.).
We also appreciate any information on how you located the Infiltec web site (search engine, friend, state radon office, etc.), and what new products and information we should add to our site.

Comments:

Let us know if you would like special shipping such as UPS blue (2nd day) or UPS red (next day). We generally need your completed order before noon in order to ship the same day as you order. For credit card sales we will need to talk with you by phone, so either call us or let us know when we should call you (home or work phone).

When you press Submit all of the data on this page will be sent by email to Infiltec. This is not a secure transmission, so you should not send credit card information. If you press Clear all of the data will be erased so that you can change your entries.

Return to
the Infiltec
Home Page.

Email address:
Name:
Company:
Street line1:
Street line2:
City, State, Zip:
Work Phone:
Home Phone: