Order Form

Sold to:
	Company:			Tel:
	Contact:			Fax:
	Address:			e-mail:
Ship to:
	Company:			Tel:
	Contact:			Fax:
	Address:			e-mail:
	Unloading Dock:			Lift gate required:
PO#:
	Ship Date:			Terms:
	Cancel Date:			Signature:
Credit card info:
	Credit Card #:			Name as it appears on credit card:
	Expiration Date:
	QTY ITEM DESCRIPTION PRICE EXT. PRICE
	By submitting this form, the enrolled Customer, agrees to North Cray Company, LLC TERMS AND CONDITIONS established in the Section "Terms and conditions". This Order Form has been prepared by the enrolled Customer, or by North Cray Company, LLC ("Company") on behalf of the enrolled Customer and shall be deemed, conclusively, to have been prepared and accepted by the enrolled Customer.
	Order Form Order Form.pdf Order Form.xls