215 Butler Street Brooklyn, NY 11217 1.800.292.2117
	Billing Information     Name   Company   Address   City State/Province   Postal Code Country   Telephone E-mail   Shipping Information (If different than above)     Name   Company   Address   City State/Province   Postal Code Country   Telephone E-mail   Please Note: To establish an account with Distance Measuring Company or to receive information on pricing and volume discount pricing call 1.800.292.2117. Instructions: Please fill out all the relevant information on this form. Once completed, click on the "Print Form" button (if supported by your computer) on the bottom of this window. You can also print this page conventionally if you wish to. Once printed, you can fax this form to 718.875.5757 or you can send it by mail to the address above. Measuring Devices     1-Meter Circumference Wheel DMW Pro-100   Two 1-Foot Circumference Wheel DMW 400   3-Foot Circumference Wheel DMW 1100   4-Foot Circumference Wheel DMW 1500   Digital 2-Foot Circumference Wheel DigiRoller 2200   Automotive Measuring Device NiteStar 50   GPS Measuring Device (Avalable on April) TG 2000   Print Order Form     (If supported by your computer)     Instructions: Please fill out all the relevant information on this form. Once completed, click on the "Print Form" button (if supported by your computer) on the bottom of this window. You can also print this page conventionally if you wish to. Once printed, you can fax this form to 718.875.5757 or you can send it by mail to the address above.