Important Info

Due to rising fuel costs, we may add a surcharge to your invoice. This charge ranges from $3 to $13. We are sorry to have to make this change.

In our efforts to make it easier for customers to place their order, we've developed this simple online order form. New and existing customers alike can use this form to place their order.

If you are an existing customer, be sure to supply us with your customer number. You will be invoiced when your order is shipped and given your normal terms.

If you are a new customer, you will be contacted to establish terms and to introduce you to our vendor program.

Thank you for your business!

Customer Order Form

   Please check if you are a new buyer!
*Customer Number: 
School seller or Tax Number: 
*School Name: 
   Please check if address has changed!
*Street Address: 
*City: 
*State: 
*Zip:   Be sure to include nine digit zip code!
*Buyer Name: 
*Buyer Title: 
*Email address: 
*May we email you information on our best deals and specials? 
*School Phone Number:   -  -
Regular Salesperson: 
Purchase Order No.: 
   HOLD FOR PURCHASE ORDER PLEASE
Detailed Delivery Instructions: 
Vendor Replacement or Service Date:   (dd/mm/yyyy)
 
*Minimum required amount of total order. . . $70.00
Stock No./ Description Delivery Date Quantity









 
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