BETTER METAL ORDER FORM

InstructionsComplete & 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

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