Ordering Form

Ordering Form

Note on credit card payments and/or existing Purchase Orders: Please provide credit card information via phone or fax. Alternatively, you may email your existing Purchase Order(s) directly to biosales@pel-freez.com. Online payment is currently unavailable.

Payment terms are net 30 days.
Orders under $100.00 for domestic and under $250.00 for international are subject to a minimum order fee.
Shipping charges are prepaid and added to your invoice unless other arrangements are made when order is placed.
All products normally shipped frozen or on wet ice are subject to a per-carton packing carton charge.
To view all terms and conditions, please click the link below.

Contact Information

Name *

Phone *

Email *

Customer Account Number (if applicable)

I would like to:

I would like to: *

Request a Quote

Order Products

Billing Information

Company Name *

Street Address *

Room/Building/Suite

City *

State/Province *

Country *

Zip/Postal Code *

Is your Shipping Information the same as your Billing Information?

Yes

No

Shipping Information

Company Name *

Street Address *

Room/Building/Suite

City *

State/Province *

Country *

Zip/Postal Code *

Products

Product Number *

Quantity/Pack Size *

Special Instructions

Additional Info (optional)

Purchase Order Number

Additional Comments

Terms and Conditions *

I have read and agree to the Terms and Conditions of Sale