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CMS-II: Central Monitoring System

Model TS4: Multiple Probe Temperature Monitor Alarm

Model 140: Single Probe Temperature Monitor Alarm

CA 5000: Freezer Monitor Alarm Backup System with LN2 or CO2 Injection

Hampshire Controls Corporation

NOTE 1: USE THE FORM BELOW IF YOU HAVE QUESTIONS, OR WISH TO ORDER WITHOUT USING A CREDIT CARD OR PURCHASE ORDER NUMBER. AFTER RECEIVING YOUR ORDER, WE'LL THEN CALL YOU TO VERIFY ORDER AND PAYMENT DETAILS.

NOTE 2: IF YOU WANT TO ORDER SECURELY USING A CREDIT CARD OR PURCHASE ORDER, THEN CLICK THE LINK BELOW.

SECURE CREDIT CARD ORDER FORM LINK.

NOTE 3. TO MAIL OR FAX AN ORDER, CLICK HERE TO DOWNLOAD A PDF ORDER FORM.

STANDARD NON-SECURE ORDER FORM

*INDICATES REQUIRED INPUT FIELD

1). *Full name:
2). *Company name:
3). *Phone number: (include area code and extension):
4). *Fax number: (include area code):
5). *E-mail address:
6). *Zip/Country Code:
7). *List product name, item number, and quantity and price for each:
8). *SHIP TO ADDRESS:
9). Fright collect billing account number (if applicable):
10). Purchase Order number:
11). *BILL TO ADDRESS:

12). *How do you wish your product shipped?	Ground Second-day Third-day Overnight Cheapest way
13). *Have you used a Hampshire Controls product before?	Yes No
14). If "yes" to the above question, which product(s) have you used?
15). Please list the application(s) used for our product(s).
16). *How did you find out about Hampshire Controls Corporation?	I'm presently a customer Co-worker Professionals' recommendation Internet search
17). Add any additional comments or questions below:

Hampshire Controls Corporation
1 Grove Street, PO Box 516, Dover, NH 03821-0516
(Call Toll Free in the US and Canada) 866-496-9424 - (Worldwide) 603-749-9424
(Fax) 603-749-9433
(Email) sales@hampshirecontrols.com