Brenda (760) 217-0741 - Sales
Brenda@machinest.com
Hours 8 am to 6 pm Pacific Time
Hours 11 am to 9 pm Eastern Time

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AluminumSpacers.com FAX Order Form - Fax to 760-246-5490

Order #___________(if applicable) 

Quantity Spacer Number Description Price Each Total Price
   

_____OD x _____ID x _____Long

   
   

_____OD x _____ID x _____Long

   
   

_____OD x _____ID x _____Long

   
   

_____OD x _____ID x _____Long

   
 
Total --  

Shipping Method:     Priority Mail for $8.00______            

UPS Ground:_____UPS 2nd Day______UPS Next Day_______

Ship to:                  

Name/Attn:____________________________________________

Company Name________________________________________

Address______________________________________________

Address______________________________________________

City_____________________State_______Postal Code________

Country_________________________

Phone #________________________ (Required outside of USA)

Email_______________________(For email confirmation and tracking information)

Circle Credit Card Type:     American Express    M/C    VISA    Discover

Credit Card #__________________________________

Expiration (Month/Yr)_______/________

Verification Number_______(Last 3 digits on the reverse side of card/4 digits on the face of AMEX)

Credit Card Billing Address: (If different from Shippng address)

Name___________________________________(Write 'Same' if same as above)

Company Name_________________________________________

Address_______________________________________________

Address_______________________________________________

City_____________________State_______Postal Code_________