![]() |
E-mail: sales@bti-tool.com |
| Customer Order Form |
Purchase Order Number |
| Date: |
|
||||||
| Bill To: | |||||||
| ATTN: | |||||||
| Phone: | FAX: |
| Ship Collect Via Your FEDEX / UPS Acct# |
| Qty. ordered | Page # | Description | Unit Price | Total | |
| 1. | |||||
| 2. | |||||
| 3. | |||||
| 4. | |||||
| 5. | |||||
| 6. | |||||
| 7. | |||||
| 8. | |||||
| 9. | |||||
| 10. | |||||
| 11. | |||||
| 12. | |||||
| Shipping charges will be determined at the time the order is filled. | |||||
| Credit Card No. | Expires |
| Ordered By:_________________ | Approved By:_________________ |
| Payable in US currency. All claims must be made within 5 days after receipt of merchandise. | Thank you for your order |