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Pressure Tanks Wholesale

800-509-TANK
800-509-8265
Call STEVE

Fax: 213-226-4690
(Attn. Steve E.)

Cell(24/7): 213-798-0903 		   E-Mail:
tank@asmepressurevessels.com

Order Online: SECURE ORDER FORM
Please Print: FAX ORDER FORM

To order, please print and fax this order form to  213 226-4690

Bill To:
Company  
Contact  
Address  
   
City,ST,Zip  
Phone  
Fax  
Ship To: (if different from billing address)
Company  
Contact  
Address  
   
City,ST,Zip  
Phone  
 
Qty Part# Description Each Total
         
         
         
         

Note:

If you want to pay us Net 30 days, please fax along your credit references.

Purchase Order Number:                            

  
Sub Total
  
Shipping
  
 Total
  
 Sales tax if applicable
  
 Please Enter Total Payment
  
Method of Payment:(circle one)
 Visa 
  MasterCard   Check 
Card No  
Expiration  
Cardholder's Signature  
Print this form, fill in your shipping and payment information, and send the completed form to us.
 
Mail: Roy E. Hanson Jr. Mfg.
            Attn. Steve Eszeki
            P.O. Box 30507
            Los Angeles, California 90030-0507