Page 77 - AAC Apparel Equipment Catalog 2017
P. 77
Copy this form and use for faxing to our sales department.
Atlanta Parts Depot®
FAX Order Form +1 (770) 963-7641
BILL TO
Company: Contact: Address A: Address B: Address C: City: State: Country: Phone: FAX: Email:
Ordered By : PO No:
Account No:
ZIP:
REQUIRED
SHIP TO
Company: Contact: Address A: Address B: Address C: City: State: Country: Phone: FAX: Email:
Phone: FAX: Email:
REQUIRED: If different than “BILL TO”
ZIP:
REQUIRED REQUIRED
QTY PART NO. DESCRIPTION U/M PRICE EXT PRICE
SHIPPING INSTRUCTIONS
fees will be calculated and added when applicable.
Shipping, taxes and International documentation
Sub Total
UPS:
Acc #
❑ Ground ❑Red ❑AM ❑ Blue
❑ Orange
FedX: Other:
Credit Card: # ❑ VISA ❑ MC
Name: Exp Date: Security Code: Phone No:
Acc #
❑ Ground ❑ Air
❑ Collect
Acc #
❑ DISC
❑ AEXP
Website: www.atlantapartsdepot.com
Atlanta Parts Depot
362 Industrial Park Drive Lawrenceville, GA 30046 USA
email: sales@atlantapartsdepot.com +1(770) 963-7369 • 866-885-5100
Atlanta Parts Depot is a division of Atlanta Attachment Company
© 2017 Atlanta Attachment Company 65
