Consumer Product Order Form for Insect Light Traps

Consumer Product Order Form (USA consumers)

Order our products online in our Pest Control Shop! (www.pestcontrolshop.com)

If you prefer to order by mail, please print this form, fill out all appropriate information, and fax or mail* using the contact information at the bottom of this page. For export pricing, quantity discounts, dealer or PCO inquiries, or any products not included on the form, please contact us.

*If you plan to mail in a check with your order, please contact us first for a quote on shipping charges.

Insect Light Traps (ILT's):

Model #	Brief Description	Ship Wt.	Price	Quantity	Total
FW-9	Compact yet efficient unit - plugs into wall outlet (like a night light)!	3	$ 39.95
MX-360	Portable, two-sided, maximum power and 360 degree attraction.	28 lbs	$319.00
WS-85WH	Wall sconce, white	8 lbs	$149.00
WS-85GV	Wall sconce, gold vein finish	8 lbs	$159.00
GT-150	Corner vertical, horizontal, portable	11 lbs	$199.00
GT-180	Slimline Wall Mount	13 lbs	$219.00
GT-200	Portable or Wall Mount	13 lbs	$289.00
AG-241*	Suspended from Ceiling	32 lbs	$548.00
AG-661*	Suspended Outdoor Use	30 lbs	$465.00
AG-661-30*	Suspended Outdoor Use	35 lbs	$585.00
AG-961	Suspended from Ceiling	17 lbs	$399.00
AG-963	Wall Mount	20 lbs	$289.00
AG-969 (AG-969W)	Wall Mount or Recessed	30 lbs	$435.00 $460.00
AG-970*	Wall Mount	30 lbs	$495.00
RG-1002*	Corner - Wall Mount	30 lbs	$376.00

ILT ACCESSORIES:

Model #	Description	Price	Quantity	Total
ACC-6020 --------------- ACC-6024	White 4" x 16" cold glue UV resistant glueboard for WS-85, GT-100, GT-150, GT-200 (bottom, horizontal). (Also earlier models WS-50 & WS-75.) Choose 20-pack or 24-pack	20 pk. $35.90 ----------------- 24 pk. $43.10
ACC-6110 ----------------- ACC-6112	White 9" x 16" cold glue UV resistant glueboard for MX360, GT-180 & GT-200 (back, vertical). Choose 10-pack or 12-pack	10 pk. $32.95 ----------------- 12 pk. $39.55
ACC-6110B ----------------- ACC-6112B	Black 9" x 16" cold glue UV resistant glueboard for MX360, GT-180 & GT-200 back. Choose 10-pack or 12-pack.	10 pk. $36.95 ----------------- 12 pk. $44.35

EDUCATIONAL MATERIALS are also available - see detailed descriptions.

For other products not listed above - please contact us.

Order Summary

Subtotal ______________________

California delivery addresses, please add appropriate sales tax
(tax rate: __________% ) Amount: _____________________

*Shipping: see below ____________________

C.O.D. $5.00: ____________________

TOTAL _____________________

*Shipping: We typically ship via UPS Ground service, from warehouses in Wisconsin or California, unless otherwise instructed. For smaller items, we may ship Priority Mail. The cost varies based on weight and destination. We calculate the shipping cost and notify you before processing your order.
Please Note: Items marked * are shipped by truck.

If you would prefer another shipping method, please indicate here: ________________

Payment Options:

Credit Card Type: Visa ___ MasterCard___ AMEX ___ Discover ___ Expiration Date _____ / ______

Credit Card Number __________________________________________________

Signature__________________________________________________________

Name on card** (please print)_____________________________________________

** Note: name & address on credit card must match shipping name/address below.

Shipping Instructions - Ship to:

Name___________________________________________________

Company Name___________________________________________________

Address___________________________________________________

___________________________________________________

City____________________________State____________________Zip_______________

Country__________________________________________________

Phone:_______________________Fax:________________________E-mail________________________

Please print this form, fill out all appropriate information, and fax or mail* to us.
*If you plan to mail in a check with your order, please contact us first (see below) for a quote on shipping charges.

� 1996-2007 ACTRON, Inc.
P. O. Box 572244, Tarzana CA 91357-2244 USA
Phones: (800) 866-8887* (toll free in USA only)
      or (818) 654-9744 (USA or International)
Fax: (818) 654-9788                email

* Our toll-free 800 number is occasionally out of order in some areas; if you can't get through, please call 818-654-9744.

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