Please fill out completely
Date:
Account:
Bill to:
Ordered By:
Your Fax No.:
Ship to:
Purchase Order Number
Ship VIA
** All orders MUST have a Purchase Order Number
**Fed Ex shipments require 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)
MEC Parts Order Form
Phone: 559-842-1523
Fax: 559-400-6723
Email: Parts@mecawp������com
