This form must be completely filled
out to place an order. We will email a receipt
for all orders placed during our
office hours. IF YOU DO NOT RECEIVE A RESPONSE TO YOUR REQUEST WITHIN AN HOUR OF SENDING IT PLEASE CALL THE OFFICE IMMEDIATELY.
Orders that are received after office hours will
not normally be delivered before 11AM. You must
phone us to verify Same-Day orders. Same day orders cannot be filled if placed after 2:30PM!!!
Our
analyses are also available in color via
electronic mail and now are also downloadable on the web. You can also view samples on our web site here. If you would like to receive a sample of a specific area directly from our office, please phone us or send us an email. Please download a sample analysis BEFORE you will be receiving your actual analysis to make sure you can print the one you receive.
Please
provide the following ordering information - if your card
is already
on file, you do not need to complete the form, just select
"card on file already" below. If your card is not on file, please call the office as soon as possible with your credit card number as it must be verified before the order is entered.
Credit
card
(Click on window for more options)
Cardholder
name
Card
number
Expiration Date
Billing Address
City
State
Billing Zip
Information
on file
(check this box, if we have your credit card information
on file)
If
this form is NOT working please call our office IMMEDIATELY at 1-800-677-7633
Apr 02-May 04: M-F 9:00AM - 6:00PM
Sat. hours determined by demand by Wednesday 5:00PM
May 07-May 24: M-F 9:00AM - 6:00PM
Sat 9:00AM - 5:00PM (sometimes earlier - PLEASE order by 12:00PM)
May 24-Sep 07: M-F 9:00AM - 9:00PM
Sat 9:00AM - 5:00PM (sometimes earlier - PLEASE order by 12:00PM)
Sep 10-Sep 28: M-F 9:00AM - 6:00PM
Sat. hours determined by demand by Wednesday 5:00PM
Oct 01-Dec 31: M-F 9:00AM - 5:00PM
Holiday hours to be announced (so please call office). We will be closed: New Year's Day - January 01; Memorial Day - May 28; Independence Day - July 04; Labor Day - September 03; Thanksgiving - November 22-23; and Christmas - December 25
60 Westover Drive - West Melbourne, FL 32904
Office 321-723-5759 or 800-677-7633
Email
Internet: www.roffs.com