Data Chip (EPROM) Order Form for ELANE Manufactured Scales


Please enter all data required to process your request. We can supply any data chip for any ELANE made product world wide.

Upon receipt of your form we will notify you by email within a few days regarding

a) verification of your order
 b) confirm the final price including postage charges for your approval
 

Please provide the following product information:

Product Name as printed on the Scale keyboard

  

Model Number as printed in the Scale keyboard

  

Scale Capacity as printed in the Scale keyboard

  

Serial Number of Scale (on the bottom of scale or inside Chip compartment)

  

Date of last Rate Change on your existing Chip

  

Purchased from

  

Order Quantity

  

 

CONTACT INFORMATION
Name*
Title
Organization
Work Phone
FAX
E-mail*
URL


SHIPPING ADDRESS (please provide street address)
Street Address  
Address (con't.)  
City  
State/Province  
Zip/Postal Code  
Country  

Enter your comments or questions here:

                                                                      
 

         



Note: Prices subject to change without prior notices.

scales, postal