National Petrographic - Thin Section Order Form

5933 Bellaire Blvd.
Suite 108
Houston, TX 77081
Tel: 877.598.4849
Fax: 713.661.0625
npsinc@flash.net

Thin Section Order Form

ORDER INFORMATION Name: ________________________________________________ P.O.#: _______________ Company: ________________________________________________________________________ Phone: ________________________________ Fax: _________________________________ Email: ________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ BILLING INFO Address: ________________________________________________________________ City: ________________________________________________________________________ Province/State:_________________________________________ Zip: __________________ _________________________________________________________________________________ _________________________________________________________________________________ SHIPPING INFO Address: _______________________________________________________________ Shipments CANNOT be made to a P.O. Box. City: ________________________________________________________________________ Province/State:_________________________________________ Zip: __________________ _________________________________________________________________________________ _________________________________________________________________________________ Credit Card #: _____________________________________ Security Code: ______ Exp. Date: ________________ Name on Card: __________________________________________________________________ Credit Card Billing Address: ___________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ THIN SECTIONS Size of Section: 27 x 46mm (1" x 1 7/8") 50 x 75mm (2" x 3") multi-depth pore-cast Cover Slip: Yes No Impregnation: Blue Clear Fluorescent: Yellow Pink Blue No Impregnation Polishing: Micro Probe Polish Doubly Polish No Polish Staining: Calcite (ARS) Iron Rich Carbonate (ARS & Potassium Ferricyanide) Potassium Feldspar Plagioclase No Staining Ground in Oil: Yes No Orientation: Yes No __________________________________________________________________________________ __________________________________________________________________________________ TURNAROUND TIME Guaranteed Service: Drilling Well (24 hours) Super Rush (2-5 Days) Rush (10 Days) Regular Service: Orders processed as they are received. Call for current times. __________________________________________________________________________________ __________________________________________________________________________________ SHIPPING INSTRUCTIONS Please include a spread sheet with your samples, numbering each sample and labeling them for engraving purposes (not longer than 9 characters).

BILLING INSTRUCTIONS National Petrographic Service accepts Visa, Mastercard, American Express or Check. If a P.O. # is necessary for processing payment with your organization, please include the P.O. # when available. Otherwise, an invoice will follow the shipped work within 5 working days and will be addressed to the "Bill To" recipient.