CN-383-H International Calibration Cotton Standard Order Form

REPRODUCE LOCALLY

UNITED STATES DEPARTMENT OF AGRICULTURE
AGRICULTURAL MARKETING SERVICE
COTTON AND TOBACCO PROGRAM
DATE:

ORDER #
DO NOT WRITE IN THIS SPACE

Standardization & Engineering Division
3275 Appling Rd.
Memphis, TN 38133
Telephone: (901) 384-3030
Fax: (901) 384-3032
E-mail: cotton.standards@ams.usda.gov

PAID BY CHECK NO.

AMOUNT

RECEIVED BY

DATE

International Calibration Cotton Standard Order Form
Stelometer
ITEM

E3
E11
E12

DESCRIPTION

1/8" Gage

Elongation

Grams/Tex

(Percent)

C - XX

American Upland

XX.X

X.X

L-X

American Upland

XX.X

X.X

M-X

American Pima

XX.X

X.X

Fibrograph
2.5%

50%

DOLLAR
AMOUNT

Micronaire QUANTITY

Span Length, in. Span Length, in.

X.XX

X.XX

X.XX

$

TOTALS

$

Check Here To Be Included in the Semi-Annual ICCS Check Test
Exact test values for each calibration cotton are shown on the label of each sample. These values are established by designated laboratories.
The samples are blended card web.
PRICES: The price of each 1/2 pound sample includes packaging, handling and delivery where stated. Fumigation (if needed) is a
minimum of $X.XX per order. Phytosanitary Certificate (if needed) is $XX.XX.
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 AND TOBACCO PROGRAM.
CHECK

VISA

MC

ACCT.NO.

EXPIRES

UNITED STATES
FOB Memphis...
Surface Delivered...

SIGNATURE
EXPORT

$XX.XX
$XX.XX

Request Quote for Air Freight Pre-Paid

SHIP TO (print or type)
CONTACT NAME

COMPANY NAME

STREET ADDRESSS (necessary)

POSTAL BOX

CITY

PHONE

STATE, COUNTRY, AND ZIP CODE

E-MAIL ADDRESS

FAX

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CN-383-H (12-06)