Please complete the following form to submit your order request. Terms and conditions apply, and a Purchase Order shall only be valid when formally acknowledged in writing by Surrey NanoSystems Ltd.
PLEASE READ OUR PURCHASING INFORMATION PRIOR TO COMPLETING THIS FORM.
I fully understand:
(If possible it would be helpful if you can briefly describe your intended application. In particular, please provide details of approximate size and shape of the components to be coated and the material type. Also describe proposed measures to be taken to protect the Vantablack surface from environmental exposure and possible human contact.)
I would like to pay by:
Please selectCredit card via WorldpayBACS
For customers in: Canada, France, Germany, Italy, Japan, Norway, Poland, Spain, Sweden, Switzerland, United States Please select to confirm than an OIEL UNDERTAKING LETTER (found here) has been completed and emailed to email@example.com & original copy sent to the address below. - OR - For all other non-UK customers: Please select to confirm that a SIEL END USER UNDERTAKING FORM (found here) and COVERING LETTER have been completed and emailed to firstname.lastname@example.org & original copy sent to the address below. Please post original copies of OIEL UNDERTAKING LETTER or SIEL END USER UNDERTAKING FORM and COVERING LETTER, if required to:
Surrey NanoSystems Ltd
Unit 24 Euro Business Park
REFER TO MATERIAL SAFETY DATA SHEET
DO NOT TOUCH THE VANTABLACK SURFACE
It is a condition of ordering samples that prospective customers make themselves (including anyone handling Vantablack coated items) aware of the information contained within the Safety Data Sheet below prior to placing an order.
Although it is unlikely that individual nanotubes can become separated from the Vantablack coating, these can present a health hazard under some conditions. Please read the material safety data sheet provided or available at this link
Vantablack® is a highly emissive nanostructured coating consisting of a Carbon Nanotube Array. The surface is highly susceptible to direct impact or abrasion which may damage the material’s optical properties and cannot be touched by humans.
I have read and understood the Health & Safety Information.
The prices herein are quoted in UK pounds unless otherwise indicated above, and are net and exclusive of local taxes, import duty, VAT and any other local, governmental or EU or national taxes. Import duty, state and local government or EU taxes are the sole responsibility of the buyer. Prices are quoted EXW (Newhaven UK) in accordance with Incoterms 2010.
A maximum quantity of 3 of each sample type may be ordered.
Estimated delivery will be approx. 1 week after receipt of order subject to availability and compliance to export regulations where applicable, to be confirmed at order acknowledgement.
Payment is due before delivery. Payment can be made via credit card with WorldPay or by BACS
The unit prices herein are valid for acceptance within 30 days from the date that this order form was downloaded, and thereafter may be subject to change.
Title of goods shall not transfer to the buyer until payment is received in full by Surrey NanoSystems Ltd.
The above prices include a standard warranty of 12 months, effective from the date of delivery. The warranty covers defective materials and workmanship, provided that such defects are not due to misuse and/or incorrect storage and handling on the part of the buyer.
Acceptance of any resultant order may be subject to receipt of UK Export Licence. If required in order to comply with UK Export Control Regulations, Surrey NanoSystems Ltd may request an End User Undertaking/ General Undertaking Letter to be provided by the buyer before any goods may be shipped. . The buyer shall promptly notify Supplier of any authorisation requirements under Export/Import Laws that may apply to delivery of the goods to buyer’s site(s). Buyer shall advise Surrey NanoSystems at the time of order placement if the goods are intended to be exported or re-exported after delivery.
A Safety Data Sheet in respect of the Vantablack® coating is available at the URL/Link below. It is a condition of this quotation that prospective customers make themselves (including anyone handling Vantablack coated items) aware of the information contained within the Safety Data Sheet prior to placing an order. https://www.surreynanosystems.com/assets/media/sns-cnt-safety-data-sheet-2014.pdf
This quotation and any subsequent order is subject to Surrey NanoSystems Ltd standard terms and conditions, a copy of which will be supplied on request. Issuance of a purchase order hereto by the buyer constitutes the buyer’s assent to such terms and conditions, which may not be varied or amended except in writing and signed by a duly authorised officer of Surrey NanoSystems Ltd. A contract shall only come into existence when the order is accepted by Surrey NanoSystems Ltd by way of a written acknowledgement of order. In the event of any conflict between Surrey NanoSystems Ltd standard terms and conditions and this quotation, the latter shall prevail.
I confirm that the above details are correct and I hereby request the supply of the samples as indicated. I have read, understood and accepted the terms and conditions above..
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