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PLEASE COMPLETE THE FORM BELOW TO ORDER MACHINES OR PARTS

IF YOU PREFER YOU MAY CALL DIRECTLY AT 360-366-2226 OR DOWNLOAD AND FAX THE PDF OR EXCEL ORDER FORMS. FAX # 360-366-4015
PDF PARTS ORDER FORM PDF              CLEANING SUPPLIES ORDER FORM PDF

 
EXCEL ORDER FORM

 

1. CONTACT & SHIPPING INFORMATION

 

 

COMPANY

CONTACT

 

BILLING PHONE #

BILLING FAX #

 

BILLING ADDRESS 1

BILLING ADDRESS 2

 

BILLING CITY

BILLING STATE

 

BILLING ZIP CODE

EMAIL A ADDRESS

 

PURCHASE ORDER #

SHIPPING METHOD

 

NAME ON CREDIT CARD

CREDIT CARD NUMBER CALL WITH CREDIT CARD INFORMATION

       
 

FILL OUT THE SHIP-TO SECTION BELOW ONLY IF IT IS DIFFERENT THAN YOUR BILLING INFORMATION

 
 

SHIP-TO COMPANY

SHIP-TO CONTACT

 
 

SHIP-TO ADDRESS 1

SHIP-TO ADDRESS 2

 
 

SHIP-TO CITY

SHIP-TO STATE

 
 

SHIP-TO ZIP CODE

SHIP-TO PHONE #

 
   
 

2. PRODUCT/PART INFORMATION

           
 

ITEM

 

 ITEM OR CODE #

 DESCRIPTION

QUANTITY

 

1

 

 

2

 

 

3

 

 

4

 

 

5

 

 

6

 

 

7

 

 

8

 

 

9

 

 

10

 

 

11

 

 

12

 

 

13

 

 

14

 

 

15

 

 

16

 

 

17

 

 

18

 

3. ANY ADDITIONAL INFORMATION


              

 

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