REPRODUCE LOCALLY FORM APPROVED – OMB NO. 0581-0008

UNITED STATES DEPARTMENT OF AGRICULTURE

AGRICULTURAL MARKETING SERVICE

COTTON AND TOBACCO PROGRAM

DATE: ORDER #

Standardization & Engineering Division

3275 Appling Rd. 

Memphis, TN 38133

Telephone: (901) 384-3030

Fax: (901) 384-3032

E-mail: cotton.standards@usda.gov

DO NOT WRITE IN THIS SPACE

PAID BY CHECK NO. AMOUNT

RECEIVED BY DATE

International Calibration Cotton Standard Order Form

ITEM DESCRIPTION

Stelometer Fibrograph

Micronaire QUANTITY DOLLAR

AMOUNT 1/8" Gage

Grams/Tex

Elongation

(Percent)

2.5%

Span Length, in.

50%

Span Length, in.

E3 C - 39 American Upland 25.1 7.1 1.12 0.53 3.39 $

E11 L - 2 American Upland 18.0 5.6

E12 M - 1 American Pima 30.8 6.4

TOTALS $

Exact test values for each calibration cotton are shown on the label of each sample. These values are established by designated laboratories. 

The samples are blended card web.

PRICES: The price of each 1/2 pound sample includes packaging, handling and delivery where stated. Fumigation (if needed) is a 

minimum of $135.00 per order. Phytosanitary Certificate (if needed) is $65.00.

PAYMENT MUST BE SUBMITTED WITH ORDER. WE DO NOT ACCEPT LETTERS OF CREDIT.

CHECK MUST BE DRAWN ON A U.S. BANK PAYABLE TO: USDA, AMS, COTTON AND TOBACCO PROGRAM.

CHECK VISA MC ACCT.NO. EXPIRES SIGNATURE

UNITED STATES EXPORT

FOB Memphis...

Surface Delivered...

$20.00

$22.00

Request Quote for Air Freight Pre-Paid

SHIP TO (print or type) 

CONTACT NAME COMPANY NAME

STREET ADDRESSS (necessary)

POSTAL BOX CITY PHONE

STATE, COUNTRY, AND ZIP CODE E-MAIL ADDRESS FAX

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it 

displays a valid OMB control number. The valid OMB control number for this information collection is 0581-0008. The time required to complete this information 

collection is estimated to average 3 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data 

needed, and completing and reviewing the collection of information.

CN-383-H (3-2017 Expires on 3-31-2024) (Previous editions are to be destroyed)
 

 

 

 

 

 

 

 

 

 

 

 

 

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In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and 

employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender 

identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance program, political 

beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and 

complaint filing deadlines vary by program or incident.

Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) 

should contact the responsible Agency or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 

877-8339. Additionally, program information may be made available in languages other than English. To file a program discrimination complaint, complete the USDA

Program Discrimination Complaint Form, AD-3027, found online at http://www.ascr.usda.gov/complaint_filing_cust.html and at any USDA office or write a letter

addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your

completed form or letter to USDA by: (1) mail: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW

Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: program.intake@usda.gov.

USDA is an equal opportunity provider, employer and lender.

CN-383-H (3-2017 Expires on 3-31-2024) (Previous editions are to be destroyed)