Please provide the following contact information or call us
at 561-226-8500 and ask for Sales
Name*
Company
Work Phone*
Fax
E-Mail*
* Required fields
Please provide the following ordering information:
QTY
PART NUMBER
Please note:
1. The minimum shipping and handling charge per order is $15.00.
2. All orders less than $500.00 must be prepaid via Master Card, Visa, American Express, Discover Card, Money Order, Bank Wire Transfer or Company Check.
3. All new customers requesting terms must complete a Credit Application. For new international customers a Bank Letter of Credit is required. For additional information please send an
email
or call 561-226-8500.