Dealer pricing
To Order on line:
Select product from the drop-down list.
To see quantity discounts: - Insert your quantity. - Click on price field.
Order Form
PURCHASE ORDER
Your PO#
Date:
Product Description
Quantity Discount Point
Your Quantity
Unit Price
Ext Price
:
Subtotal:
Click here if you live in Iowa
Sales Tax:
Click here if you would like this order shipped UPS next day air. *Note heavy items may be cost over $70.
Shipping:
Unknown
.
Select Payment Option:
.
MasterCard (Add 4% to order subtotal)
Visa (Add 4% to order subtotal)
COD Business Check (Add $4.00 to order)
Net 30 (Pre-Approved Customers)
.
Total less shipping cost:
Bill To
Name:
Company:
Address1:
Address2:
City, State, Zip:
Phone:
Email address:
Ship To
Name:
Company:
Address1:
Address2:
City, State, Zip:
Phone:
Email address:
Enter Credit Card Information :
(Only if you selected a credit card as your payment method)
Card Number:
Card Expiration Date:
Name As it appears on Card:
Be sure that you selected your desired payment method (above your address).
*Note: shipping cost will be added to the total of the order.
Please print this form for your records, before hitting the submit button.
