MEC Parts Order Form
Phone:
559-842-1523
Fax:
559-400-6723
Email:
Please Fill Out Completely:
Date:
Ordered By:
Account:
Your Fax No.:
Bill to:
Ship to:
Purchase Order Number
Ship VIA
** All orders MUST have a Purchase Order Number
**Fed Ex shpments requre Fed Ex account number
Part Number
Description
Quantity
Price
All back-ordered parts will be shipped when available via the same ship method as original order
unless noted below:
Ship complete order only - No Backorders
Ship all available parts and contact customer on disposition of back-ordered parts
Other (Please specify)
Signature