Please fill out form, print, and Fax to: 1-619-562-0592

BTI Inc.
9525 Pathway Street, Santee, CA 92071
TEL: 619-562-3071, FAX: 619-562-0592

E-mail: sales@bti-tool.com

Customer Order Form

Purchase Order Number

Date:
SHIP TO Residential Commercial
(if other than Bill To:)
Bill To:
ATTN:
Phone: FAX:
Ship Collect Via Your FEDEX / UPS Acct#
Qty. ordered Page # Description Unit Price Total
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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