NEW URPRO EASY-ORDER FAX FORM
The Information You Provide is Confidential and Will NOT be Shared or Sold

  1. COMPLETE Each Line Below Using Your Computer
  2. Click on the Submit Button to go to the next page.
  3. PRINT Completed Easy-Order Form
  4. FILL in your credit card information.
  5. SIGN Credit Card Authorization (Black Ink)
    • Unfortunately, PHONE ORDERS CANNOT BE ACCEPTED
    • To protect your security, our Credit Card Provider requires a signed authorization 
  6. FAX to URPRO = + 1-630-961-2622 (Secure/Dedicated)
        URPRO Alternate Fax = + 1-630-778-0459

 

(Include Country Code) (Include Country Code)

I Wish to Order the Following URPRO Filter(s)*
Most URPRO Filter Prices are posted on our URPRO web site www.urprofilters.com
 
SIZE QUANTYITY CY GR SWCY Glass/Plastic PRICE
mm/inches number of filters tropical
blue-green
water
green
algae
water
shallow
blue-green
water
(glass only)
optical glass /
optical plastic
US$ 
          Optical Glass
Optical Plastic
  US$
          Optical Glass
Optical Plastic
  US$
          Optical Glass
Optical Plastic
  US$

* Plus Shipping and Handling
* ALL Shipping rates vary with location and carrier