Surcharge Confirmation

Please complete the below form to confirm the Inovonics incremental surcharge of 8.0%.

Company(Required)

Name(Required)

First Last

Title(Required)

Email(Required)

City, State(Required)

City State / Province / Region

Surcharge Confirmation(Required)

Surcharge Confirmed: I confirm the incremental 8.0% surcharge to be added to my orders effective 12/17/21.

Surcharge Denied: Please have an Inovonics representative contact me.