Moore Mfg                FAX Order Form

FAX ORDERS 24 hours a day: (360) 677-2206

Factory hours:                             Monday-Friday     9-5 P.S.T.

Shipping:                                     UPS, UPS 2 day, Fed-x, Postal, Truck Freight

Custom Orders:                          Please allow 10-14 days. Call for details.

Terms:                                        Net 30 days to established acounts. VISA, MASTERCARD, C.O.D.

Return Phone Number:

E-Mail address: (we will e-mail a tracking number)

Return fax number:

Sold To:                                                                    Date:                                                         

_______________________________                  Ordered by:______________________  

_______________________________                   Ship to:__________________________

_______________________________                    ________________________________

_______________________________                    ________________________________

Payment Method:________________

Credit Card # ______________________________________     Exp Date:___________

Name on Credit Card:_______________________________________________________

Special Instructions: ________________________________________________________

Thank you!