BETTER METAL ORDER FORM

Instructions:  Complete & return via fax to: (615) 361-8896

PO#:

Bill To:

Ship To
Order Date:

Acct #:

Attn:  
Ordered By:

Company:

Company:

Req. Ship Date:

Address: 

Address:

Req. Due Date:

Phone:

Phone:

Special Markings: Fax/Email: Fax/Email:

Part #

Description

Qty

Unit Price

Ext. Price

(Shipping & Taxes Will Appear On Order Confirmation.) Subtotal

© 2003 Better Metal, LLC