FAX PARTS ORDER FORM
Fax to 816-531-4337
Date:
_______________ Purchase
Order No. ________________
Phone No.
________________
Contact Name: ____________________
Bill To:
________________________
Ship To:
_________________________
________________________
_________________________
________________________ _________________________
________________________
_________________________
Ok to back order ___
Ship only when complete ____ Call if back ordered ___
Other instructions
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Part number |
Description |
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Pickup______ Other
___________
Ship by: Ups
Ground_____ Blue _____ Red_____
COD __________
Print this form and fill out completely for best service.