BUSINESS/ORGANIZATION*
ADDRESS* PO BOX
CITY*
STATE* ZIP*
DAYTIME PHONE* FAX
E-MAIL* CONTACT ME BY* MAIL PHONE FAX E-MAIL
DESCRIPTION OF PART/ PARTS
TYPE OF PART TYPE OF SUBSTRAIGHT
CONDITION OF PART
SIZE WEIGHT QUANTITY
COLOR STOCK CUSTOM SPECIFY COLOR IF CUSTOM
IS PART CURRENTLY POWDERCOATED YES NO IS STRIPPPING OF PART REQUIRED YES NO
IF YES, WHY DOES PART NEED STRIPPING DO PARTS HAVE HOLES YES NO
COMMENTS/SPECIAL REQUIREMENTS
