Clock Order Form
Email:
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Applicable company codes:
For multiple companies, enter all company codes separated by a comma. IE. 9999, 9999A, 9999B
Clock Type
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Ultima-200 Advanced Clock - $2500 per clock
Quantity?
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Shipping: Company/Facility Name
Shipping: To Whose Attention
Shipping: Complete Address
Comments
In no event will Empeon be liable for any direct, indirect, incidental, consequential, punitive, or monetary damages, occurring as a result of this request, whether or not such damages were foreseeable and even if Empeon was advised that such damages were likely or possible.
Client Agreement Confirmation
Agreed
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