INSTRUCTIONS to FAX ORDER.

1. Please PRINT this form - use the printer icon at the top of the browser page (or highlight a Section & 'Ctl-P')

2. Then fill-in the CONTACT INFORMATION

3. Specify the ORDER QUANTITY for each item you want to order

4. & FAX (or mail) APPROPRIATE PAGES to Unitech           Back to Products       Back to Product Introductions

Fax To:  (562) 809-3140      Sales UNITECH SCIENTIFIC, LLC

      or Mail To:19912 Corby Avenue Lakewood, CA 90715-1030   Ph (562) 924-5150
 

From:   
Company Name: ______________________________
  Date: ___________
Contact Name:  _______________________________
Email: _______________________

Fax: (____) ___________      Phone: (____) _______________       Number of Pages: ___ 
Billing Address:___________________________________________________

Purchase Order # __________ or Verbal  
Shipping Address (if different): ____________________________________


I would like to
order the Items in the Quantity specified below:

                                                                                         

   

ENZYMATIC KITS    uv Reagents, Quantitative

Qty

Product

Tests

$US 

Description 

 

AA-F60

30

115

Acetic Acid UniFlex

 

AA-F150

75

233

 

AA-F500

250

700

 

AMM  60

30

40

Ammonia UniTab

 

AMM 150

75

90

 

AMM-500

250

270

 

AMM260

30

55

Ammonia Extended Range UniTab

 

AMM2150

75

125

 

AMM2500

250

350

 

EZA941

24

127

L-Ascorbic Acid EnzyPlus

 

EZA785

24

140

Citric Acid EnzyPlus

 

EZO 450

32

111

Ethanol EnzyPlus    NEW!

 

EZA808

32

281

D-GluconicAcid/D-Glucono-d-lactone

 

GLUF150

75

115

D-Glucose, UniFlex

 

GLUF500

250

345

 

GF-F60

GF-F150

GF-F500

30

90

D-Glucose/D-Fru

   UniFlex

 

75

190

 

250

570

 

GF-60

30

90

D-Glucose/D-Fru

      UniTab

 

GF-150

75

190

 

GF-500

250

570

 

EZA943

36

109

L-Glutamic Acid EZ+

 

EZO809

24

85

Glycerol EnzyPlus

 

EZA807

32

82

D-Isocitric Acid EZ+

 

EZA889

32

256

D-Lactic Acid EnzyPlus

 

EZA890

32

137

L-Lactic Acid EnzyPlus

 

EZA891

32

295

D/L-Lactic Acid EnzyPlus

 

EZS784

32

137

Lactose/D-Galactose EZ+

D-Malic Acid EnzyPlus

 

EZA806

30

224

 

MA-F60

30

90

L-Malic Acid UniFLEX

 

MA-F150

75

190

 

MA-F500

250

570

 

MA-60

30

90

L-Malic Acid UniTAB

 

 

MA-150

75

190

 

MA-500

250

570

 

PAN-60

30

50

Primary Amino

Nitrogen (NOPA)

UniTAB

 

PAN-150

75

110

 

PAN-500

250

330

 

PHE-60

30

50

f-C  Rgt Total Phenols

 UniFLEX

 

PHE-150

75

120

 

EZO942

32

121

Starch EnzyPlus

 

EZS863

16

101

Sucrose/D-Glucose EZ+

 

EZS863-805

10/16

180

Maltose/Sucrose/ D-Glu  EZ+

 

EZS864

32

75

Sucrose/D-Glu/D-Fru  EZ+

 

SO2f/t150

75

SOON

Free & Total SULFITE

 

TA-F60

30

80

Tartaric acid, UniFLEX

 

TA-F150

75

200

 

URAM60

270

675

Urea/ Ammonia UniTab

 

URAM150

75

220

 

URAA-60

30

105

Urea/ Ammonia/

L-Arginine UniTab

 

URAA150

75

225

 

YANARG60

30

270

Yeast Assimilable

Nitrogen-ARG UniTab

(Ammonia + L-Argine)

 

YANARG150

75

675