Order or Reference Number:
Billing Address (if different):
Name of Card holder:
UPS-3 Day (Orange)
UPS-2 Day (Blue)
UPS Next Day (Red)
FEDEX Express Saver
FEDEX Second Day
FEDEX Next Day - PM
FEDEX Next Day - AM
(Account number required for UPS Collect and all FEDEX shipments.)
Use this form for standard 48" (4-Ft) tubing and rod orders only.
Call, fax or use ourQuote form
for all non-standard or fabricated items.
Click here to see a sample order.
QTY U/M Description Price
Note: Please observe our $50.00 minimum order.
Transmission of credit card information by use of this form is
Send credit card number by two-part e-mail, call or fax if you prefer.
Use your "Print" button to save a copy for your records before submitting.
Caution: Reset button clears all fields.
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