305 B Creek Street Yelm, WA
98597
ORDER FORM
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CUSTOMER PO#_____________________TODAYS DATE______________________________
PURCHASING AGENT____________________________________________________________
CALLER__________________________________Fax#__________________________________
Phone#_____________________________Atten:________________________________________
Invoice To:_________________________ Ship
To:______________________________________
Company___________________________Company_____________________________________
Address____________________________Address______________________________________
City_______________________________ City_________________________________________
State________________Zip____________State_________________________Zip_____________
Is this a drop shipment? YES
NO
How would you like this shipped? UPS Ground,
2nd Day, 3-Day Select, Next Day
Air
Federal Express Account#____________UPS
Account#____________Other____________
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Description
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Thank you for your order!
Call us at 800-422-8665 or Fax 800-701-2081
If you have have any trouble with your shipment.
Please remit U.S.Funds.
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