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| For Sale [ ] or Wanted [ ] |
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| Type of Instrument/Equipment: | Name: |
| Manufacturer: | Address1: |
| Range (units): | Address2: |
| Model No: | City, State, Zip: |
| Principle Use: | Area
Code and Phone:
Area Code and Fax: |
| Other Detectors: | Area Code and Cell: |
| Condition of Device: | |
| Asking/Offering Price: | email: |
| Additional Info: | |
| Fee:
[ ] LIST
$25 for each 30 days
or [ ] WANTED $20 for each 60 days |
Send Payment To: John
R Haygood
1779 Wells Branch Pkwy #110B - PMB 282 Austin, TX 78727 Note: Form must be printed and mailed. |
| NOTE: Listing will not be posted until payment is received. | Notice: By submitting this form you indicate that you understand, acknowledge, and accept that John R. Haygood, Southwestern Bell Internet Services(TM), Netscape Communications Corporation, MicroSoft, and other involved internet companies and entities are not responsible for errors, omissions, changes, accidents, and other problems associated with the transfer of information via electronic, mail, or delivery systems, nor for any transfer of property. You accept responsibility for complying with the regulatory agency(s) requirements and do not hold responsible any of the aforementioned parties. |
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Type of Instrument/Equipment: Enter the basic type
of instrument or equipment - GM radiation survey instrument, multi-channel
analyzer (MCA),
Manufacturer: Enter the manufacturer of the equipment. Range (units): Enter the range of the instrument, ie, 0 - 50 mR/hr. For an MCA, enter the number of channels. Model No: Enter the manufacturer's model number designation for the unit. Principle Use: If applicable, enter the type of use that the device originally was designed for. Other Detectors: List other detectors or accesories that are included with the device. Condition of Device: Use your own judgement. Asking/Offering Price: Optional. Additional Info: Add any information that might be useful to a potential user. Note: This form is not editable. You
must print it, add the information, and fax or mail it to the indicated
fax number or
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