EZ-FLO Eastman | Appliance Intallation Catalog

EZ-FLO INTERNATIONAL, INC.

ORDER FORM MINIMUM ORDER: $100.00 NET

DATE: CUSTOMER ACCT. #: BILL TO:

SHIP TO:

PHONE:

FAX:

P.O. #

Payment Terms

Freight Terms ❏ PPD ❏ COL

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Salesman / Buyer

Item # Qty EZ-FLO Part # Customer Part #

Description

Unit Price Discount

Total

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GRAND TOTAL: This order is accepted subject to approval by our offices. Any part or all is subject to cancellation or delay in delivery due to government regulation or contingencies beyond our control. Prices subject to change without notice.

Visit our website at www.ez-flo.net

EZ-FLO International, Inc. 2750 E. Mission Blvd. Ontario, CA 91761

Customer Service: 800.486.5256 Order Fax: 866.827.3012