1 219 326 8880 Figment Group Inc.

Lifeloc Equipment and Supply Order Form

Shipping & Handling Charges will be added to your total purchase.

Please complete the order form completely.

To select an item, choose your quantity.

To submit your order, please click on the Captcha—–I am not a robot box, then click the Submit Order button at the bottom of the form.

For equipment and supplies not listed on this order form, please contact Figment Group, Inc. at 219.326.8880 or by E-mail.

 

Mouthpieces
Part No. 13043 - List: $24.60/pkg
Part No. 13046 - List: $58.45/pkg
Forms
Part No. 14010 - List: $27.30/pkg
Part No. 14008 - List: $27.30/pkg
Printer Labels
Part No. 14107 - List: $25.45/roll
Part No. 14197 - List: $83.95/roll
Bluing Tablets
Part No. 19003 - List: $14.29/bottle
Part No. 19064 - List: $37.86/3-pk
Dry Gas
Part No. 15011 - List: $141.00/cyl
Part No. 15005 - List: $141.00/cyl
Calibration Supplies – Adapter & Regulator
Part No. 15308 - List: $5.15/kit
Part No. 15302 - List: $115.50/unit
Cables & Chargers
Part No. 17005 - List: $68.00/unit
Part No. 17102 - List: $196.00/unit
Part No. 17203 - List: $85.00/unit
Part No. 17206 - List: $87.60/unit
Part No. 17204 - List: $60.75/unit
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Starting July 1, 2020 we will be open for walk-in's Monday-Friday 8:00am until 4:00pm.