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WillmarLube TECHNOLOGY

LUBRICATION EQUIPMENT	PAYPAL			We make it EASY for you to do business with Lube Technology
PRICE	AVAILABILITY	SELECTION	CONVENIENCE	Mail: Lube Technology
4 ways to Order!!	Fax: 1-616-676-1287	TEL: 1-616-676-1792	Email:sales@willmarlube.com	P.O. Box 456, Ada, MI. 49301

very affordable Lubrication Pumps and Equipment by Lube Technology

WillmarLube 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 Credit 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$	.

Order Information: You can order by

Phone:

1-616-676-1792

1-616-676-1287

1-616-676-0997

Fax: 1-616-676-1287

Email:

sales@willmarlube.com

sales

Mail:
WillmarLube
P.O. BOX 456
ADA, MI. 49301 USA

Web Address and Mail To Information

For Additional Information or Technical Information, send us an email from this web page at the address below. Please specify the Model Number. Please include your name, address, city, state, zip, Telephone Number and Fax Number in the email and we will send you the requested Information.

Contact us by mail or fax at: Address: WillmarLube Technology/Willmar International P.O. Box 456 Ada, MI. 49301 USA TELEPHONE: 1-616-676-1792 FAX: 1-616-676-1287

WEB PAGE ADDRESS: http://www.willmarlube.com
Recent Update: Sunday, February 13, 2011
For more information contact: AT: MAIL TO: sales@willmarlube.com

We make it EASY for you to do business with Lube Technology

Web Address and Mail To Information