Toll Free 1-800-394-1984
Free Trial Form for HEI Products

Please fill out this form in its entirety for Free Trials from Howard Electronic Instruments, Inc. and fax trade or credit references and bank information to 316-321-2803. For further information, please call 1-800-394-1984 or check the requirements for a free trial on-line.

Please provide the following contact information:
 Name
Title
 Organization
Street address
Address (cont.)
City
 State/Province
 Zip/Postal code
Country
 Work Phone
 FAX
 E-mail
 URL

Choose one of the following options:
Employees in Your Company?


Please provide the following shipping information:

SHIPPING
 Street address
 Address (cont.)
 City
State/Province
Zip/Postal code
Country

What product do you wish the free trial on

Please provide a brief description of the proposed application for this tool, so that we may provide you with the best tool or selection of tools for your application.

If this product meets your requirements, will you be purchasing immediately?

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☼  Have you faxed your credit references and bank information to us?


Howard Electronic Instruments, Inc.
974 SE Pioneer Rd
El Dorado, KS 67042
1-800-394-1984 Toll Free (USA and Canada)
01-316-321-2800 International Phone
316-321-2803 Fax

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Copyright © 1996 - 2010 Howard Electronic Instruments, Inc. All rights reserved.
Revised: January 22, 2010.