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Google Voice: 1-616-676-7190 | Mobile /Cell /Text: 1-713-906-9736 | Fax: 1-616-676-1287 | OFFICE TEL: 1-616-676-1792 | Email:sales@drilltechnology.com | Mail: Drill Technology; P.O. Box 456, Ada, MI. 49301 |
DRILL TECHNOLOGY MAIL/FAX Easy Order /
Quote Form
Print and use this form when ordering or requesting a
quote and send by mail or fax(FAX: 1-616-676-1287)
Please Check One Quote
Order
QTY | ITEM NUMBER |
Tool Type |
DIA |
Shank Dia | OAL | FLUTE LGTH | DESCRIPTION |
PRICE/EA |
TOTAL |
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If Applicable |
Michigan Residents Add 6 % Sales Tax |
-- Sales Tax | . | ||||||
Shipping |
-Costs: | . | |||||||
TOTAL USD$ | . |
CREDIT CARD APPLICATION |
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Quote to / Ship to : Name: | |||
Contact Name: | |||
Address: | |||
City: | State: | Zip: | |
Telephone: | Fax: | ||
E-mail Address: | |||
Method of Payment: | Money Order, Bank Draft, VISA, Master Card, Discover, AmExpress ( circle one ) | ||
Credit Card Number: | Exp. Date: | CVV | |
Name on Card: | |||
Card Address: | |||
City: | State: | Zip: | |
Telephone: | Fax: | ||
Authorized Signature: | Date: | ||
To Request a Printed Price List, Quotation, Special Tooling Information or Additional Information, send us an email from this web page at the address below. Please include your Name, Company, Address, City, State, Zip, Telephone Number and Fax Number in the email and we will send you the requested information.