Baddley Chemicals Inc

Baddley Chemicals Inc.
Baton Rouge, Louisiana

ORDER FORM

FOR INTERNATIONAL BUYERS (FIRST TIME PURCHASE)

This form is to be used to submit orders to Baddley Chemicals by INTERNATIONAL FIRST-TIME BUYERS who will (1) wire funds prior to shipment, OR (2) mail check prior to shipment, OR (3) use and American Express Card.
Type in the required information.
Add Special Instructions to the Scrolling Text Box.
Click the SUBMIT button.
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OUR SALES POLICY FOR CHEMICALS

Baddley Chemicals, Inc. sells chemicals to institutions (companies, educational institutions, governmental agencies, etc.) for LABORATORY or MANUFACTURING USE ONLY.
OUR CHEMICALS ARE NOT SOLD FOR FOOD, DRUG, MEDICAL DEVICES, HOUSEHOLD, COSMETIC, OR ANY OTHER USE EXCEPT AS NOTED ABOVE.
Responsibility for the safe use of the chemicals we sell is entirely in the hands of the user. We assume that the user is a professional who is familiar with the hazards associated with the use of chemicals.

Does this purchase meet the criteria for buyers shown above?
YES
NO
If your answer is YES, please explain below in the text box.

If your answer is NO, we are sorry, but we cannot accept the order.

Your Name

Your e-mail address

Name of Institution (Company, School, Agency, etc.)

How will this purchase be paid for?

AMERICAN EXPRESS CREDIT CARD

WIRE FUNDS PRIOR TO SHIPMENT

MAIL CHECK PRIOR TO SHIPMENT

If you plan to use the American Express Card:
Credit Card Number

Expiration Date

SHIPPING INFORMATION: The name of the Institution to ship this order to is

Attention Line:

Street Address

CityStateCOUNTRY

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In the scrolling text box below, type in any SPECIAL INSTRUCTIONS regarding this order such as shipping method and urgency, billing, C of A's, MSDS's, etc.

RECEIPT OF THIS ORDER WILL BE ACKNOWLEDGED PROMPTLY WITH THE ESTIMATED SHIPPING DATE!