Pressure Tanks Wholesale

800-509-8265
800-509-TANK
Call STEVE

Cell(24/7): 213-798-0903

   E-Mail Us
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To order, please print and fax this order form to  213-226-4690

Bill To:
Company  
Contact  
Address  
   
City,ST,Zip  
Phone  
Fax  
Ship To: (if different from billing address)
Company  
Contact  
Address  
   
City,ST,Zip  
Phone  
 
Qty Part# Description Each Total
         
         
         
         

Note:

If you want to pay us Net 30 days, please fax along your credit references.

Purchase Order Number:                            

 
Sub Total
 
Shipping
 
 Total
 
 Sales tax if applicable
 
 Please Enter Total Payment
 
Method of Payment:(circle one)
 Visa 
 MasterCard   Check 
Card No  
Expiration  
Cardholder's Signature  

Print this form, fill in your shipping and payment information, and send the completed form to us.
Fax: (213) 798-0903
 Mail:
            Attn. Steve Eszeki
            PO Box 356
            San Dimas, California 91773