Ordering
Please Visit Our AlcoMetalubeStore
Or, you can choose one of the following methods:
1. Call us at 1 (877) HVY-LUBE, (877)489-5823, (805) 573-8674, or (805) 988-3604 then fax to 805-984-0879
ORDER
FORM
SHIP TO ADDRESS:
Company:
______________________________________
Account #:
______________________________________
Address: ______________________________________
______________________________________
______________________________________
City:
______________________________________
State:
_______ Zip: __________
Attn:
___________________________________
Phone:
______________________________
FAX:
______________________________
BILLING INSTRUCTIONS
_____ Bill
to your account # _______________________
_____ COD
_____ Freight Only
_____
Visa/Mastercard # _______________________________ Exp.___________
_____
Prepayment
BILL TO ADDRESS:
Purchase
Order #: _______________________
Company:
_______________________________
Ordered
by: _____________________________
Address:
________________________________
________________________________
________________________________
State:
_________ Zip: ____________
Attn.:
___________________________________
Phone: ______________________________
FAX:
______________________________
SHIPPING
INSTRUCTIONS
Check one of the following:
____ Your
preferred carrier (Carrier Name): ________________________ Call us to make
arrangements.
____ Least
Cost Carrier (Freight Charges Collect)
____ UPS:
(circle one) | Ground
| Blue
|
Red |
____
Federal Express ____Overnight ____Second Day ____Standard Ground
____
Overseas: Call us to make arrangements
a.
Your shipping account:
Carrier:
________________________ Account # ____________________
b.
Our shipping account:
Common
Carrier: ___________________
Destination
Zip Code: ____________
Shipping
Charge: $ _____________
(calculated based on zip code)
TOTAL
CHARGES: $ _________________
METHOD
OF PAYMENT
Would
you like an account with us? YES: ____ NO: ____
1.
COD: ____
2. Credit
Card: ____ VISA/Mastercard Card #____________________
Exp.: ________
3. Check
or Money Order: ____
Send
this info by fax or phone.
