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| UNITED STATES DEPARTMENT OF AGRICULTURE |
| AGRICULTURAL MARKETING SERVICE |
| COTTON AND TOBACCO PROGRAMS |
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DATE |
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ORDER # |
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| Standardization & Engineering Branch |
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DO NOT WRITE IN THIS SPACE |
| 3275 Appling Road |
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| Memphis, TN 38133 |
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| Telephone: (901) 384-3030 |
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| Fax: (901) 384-3039 |
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| E-Mail: cotton.standards@ams.usda.gov |
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| Commercial Standardization for Instrument Testing of Cotton |
| CSITC Round Trial Participation Form |
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ITEM |
DESCRIPTION |
UNIT PRICE |
NUMBER OF SAMPLE SETS |
DOLLAR AMOUNT |
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Complete Program |
12 Months |
$xxx.xx |
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$ |
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Quarterly |
1st Quarter |
$xx.xx |
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Quarterly |
2nd Quarter |
$xx.xx |
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Quarterly |
3rd Quarter |
$xx.xx |
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Quarterly |
4th Quarter |
$xx.xx |
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TOTALS
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$ |
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| Number of Instruments to participate |
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| (Maximum 2 instruments for each set of samples) |
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PAYMENT MUST BE SUBMITTED WITH ORDER. WE DO NOT ACCEPT LETTERS OF CREDIT. CHECK MUST BE DRAWN ON A U.S. BANK PAYABLE TO: USDA, AMS, COTTON PROGRAM. |
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ACCT NO. |
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EXPIRES |
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SIGNATURE |
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| SHIP TO (print or type) |
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