GeoCHEM, Inc. Secure Online Order Form

Information submitted here is processed through a secure server. Our Secure Online Order form offers you, our customers, the convenience of ordering with your credit card.  Our secure server makes it extremely difficult and unlikely for anyone to intercept and read information between your computer (our customer) and the server (GeoCHEM, Inc.) to which you are making a connection.  How do I know if I have accessed or if I am using the secure server?  When our secure server is accessed, the browser automatically starts the encryption process and a notification message may appear to the end user that security has been enabled, and some indication on the browser screen (such as a solid key in Netscape or a solid padlock in Explorer) will appear to indicate that security is complete.  Since you have already accessed our secure server the above should already hold true.

A Printable Order Form is also available for you to fax or mail your order into GeoCHEM's Sales Department if you prefer.  We hope this helps the many who have requested some sort of secure way to order online and trust it will generally be more convenient for you, our customers.

Click Here To Obtain Printable Order Form To Order By Fax or U.S. mail

You may call for product information and shipping cost during business hours or contact us online.

The following delivery and mailing information including your email address is required for delivery of order.

Deliver Order To:

Billing Address:





Line Product Description Product Size/Gals/Dimensions Price Qty. Total
1*

2

3

4

5

6

7

8

9

10

(A) Total amounts in lines 1-10 Sub-total

           
(B) Add Freight Charges Total Freight Charges*

Total rows "A" thru "B" Sub-total (shipping charge to be added)*

Charge my:

CHARGE CARD NO: CVV NUMBER? EXP. DATE:

NAME ON CARD:

* Shipping cost varies by weight, method and distance shipped. We will contact you via e-mail or phone to verify your order and inform you of the shipping cost before processing your order if not already confirmed prior to you filling in the order form above. Thank you..

If you have any questions, you may reach us by phone at (907) 562-5755 during business hours or contact us online. Clicking the "Submit Form" button will send the contents of this form, via secure server to the Order Department of GeoCHEM, Incorporated.

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Click on "SUBMIT FORM" to place your order on our secure online server.
$250.00 Minimum Order On All Geo Ice Rink Liners Plus (+) Freight.

This helps to stop spam!




Click Here To Obtain Printable Order Form To Order By Fax or U.S. mail

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11/19/15 04:19:21 PM