Tapmatic

Place an Accessory or Cutting Fluid Order

Upon receipt of your Tapmatic Accessories order, we will telephone you to obtain the necessary payment information and to confirm order and delivery.

Please note: Orders under $50.00 are subject to a $10.00 handling charge.

Billing Info:

Company Name:

Contact Name:

Billing Address:

City:

State:

Zip:

Phone:

Fax:

E-Mail*:

- required

Purchase Order #:

Date:

Ship To Address If Different From Above:

Company Name:

Billing Address:

City:

State:

Zip:

Method Of Payment:

Through Tapmatic Stocking Distributor
Specify Distributor:
See Worldwide Distribution For Listing

MASTERCARD
VISA
C.O.D.
PAYMENT IN ADVANCE

Ship Via:

UPS Ground
UPS 3 Day Select
UPS 2nd Day
UPS Overnight
Other:

Quantity	Order No	Description	Price Each

Comments: