lspgorderform

Specificaton Selection

Select your options from the below pull down menu's. An example of a part number would be :

LSPG-LM-F-C1.5" or C2"-100psi - List Price :$245.00 Typical Resale Price : $183.75

LSPG - LM (lower mount) - F (glycerin fill) - C1.5" or C2" (connection type) - 100psi (pressure range)

Please select connection type : *

Please select pressure range : *

For alternate configurations, consult the factory.

Company & Shipping Information

Full Name: *

Company Name :

First Name :

M.I. :

Last Name :

Phone #:

( )

Address

Street Address

Address continued

City

State

Zip

Shipping Method

UPS

Fed Ex

Please Enter Your UPS Number Or We Will Include Shipping In The Final Price :

Payment Information

Enter Your Lumenite® Account Number :

Please Note : If you do not hve a Lumenite® account and would rather pay by credit card or check, please check a box below.

Select One : Master Card / VisaCheck