order form, lincoln automotive, lubrication equipment, automotive service equipment, garage equipment

LUBE TECHNOLOGY-Lincoln Automotive

Lube Technology Lube Equip	PAYPAL TO EMAIL			Online Ordering and Secure Data and Privacy Policy.
PRICE	AVAILABILITY	SELECTION	CONVENIENCE	Mail: Lube Technology
4 ways to Order!!	Fax: 1-616-676-1287	TEL: 1-616-676-1792	Email:wmogrady@iserv.net	P.O. Box 456, Ada, MI. 49301

WILLMAR INTERNATIONAL/ LUBE TECHNOLOGY
MAIL/FAX Easy Order/Quote Form
Print and use this form when requesting a Quote or Ordering by mail or fax(FAX: 1-616-676-1287)
Please Specify Order_______ Quote ______

Ship to : Name: _________________________________________________________
Address: ______________________________________________________________
City: _________________________________________ State: _____ Zip: __________
Telephone: __________________________ Fax: ______________________________
E-mail Address: _________________________________________________________
Method of Payment: Money Order, Bank Draft, VISA, Master Card, Discover, AmExpress ( circle one )
Credit Card Number: ____________________________________ Exp. Date: _______
Name on Card: _________________________________________________________
Card Address: _________________________________________________________
City: __________________________________________ State: _____ Zip: _________
Telephone: _________________________ Fax: _______________________________
Authorized Signature: _______________________________________ Date:________

QTY	-- MODEL NUMBER --	---------- DESCRIPTION ----------	--- UNIT PRICE ---	---- TOTAL ----
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			-- Sub-Total	.
	Unless Tax Exempt	Michigan Residents Add 6 % Sales Tax	-- Sales Tax	.
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			TOTAL USD$	.

Web Address and Mail To Information

To Request additional information or a Quote, fill in the form above and mail or fax it to us. Or just send us an email from this web page at the address below. Please include your name, address, city, state, zip, and state your problem as clearly as possible

Contact us by mail or fax at: Address: Lube Technology / Willmar International P.O. Box 456 Ada, MI. 49301 USA TELEPHONE: 616-676-1287 TELEPHONE: 616-676-1792 FAX: 616-676-1287

LUBE TECHNOLOGY-Lincoln Automotive

Online Ordering and Secure Data and Privacy Policy.

Web Address and Mail To Information

Contact us by mail or fax at: Address: Lube Technology / Willmar International P.O. Box 456 Ada, MI. 49301 USA TELEPHONE: 616-676-1287 TELEPHONE: 616-676-1792 FAX: 616-676-1287