Plastic Tank Order Form
To: The Fluid Equipment Group
Phone: 704-489-2006
Fax: 704-489-2006
Date:______________
| Purchase Order: | |
| Contact Name: | |
| Company Name: | |
| Address: | |
| City, State,& Zip Code: | |
| Phone: | |
| Fax: |
| Model | Qty. | Application Description (chemistry, SG, etc.) | Price Each | |
| 1. | ||||
| 2. | ||||
| 3. | ||||
| 4. | ||||
| 5. |
Fax this form along with a hard copy of the purchase order, a company credit reference sheet, and a company tax certificate (if tax exempt in the states of North and South Carolina). All purchase orders should be made out to The Fluid Equipment Group. Pricing does not include any applicable freight charges or federal, state, or local taxes that may apply. Please allow 24 hours for order verification. All orders are subject to acceptance and approval by The Fluid Equipment Group.
The Fluid
Equipment Group
A Division of B.L. Mullen & Associates, Inc.
PO Box 582 - 2265 North Highway 16 - Denver, NC 28037
Phone: 704-489-2006 Fax: 704-489-0059
Sales@fluidequipment.com