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Profile / About Us Privacy Security Online Ordering Information
Mail: Willmar Lube   P.O. Box 456, Ada, MI. 49301 USA Español / Spanish:  1-616-676-0997 F: 1-616-676-1287 TEL: 1-616-676-1792 sales@willmarlube.com Google Voice: Text Only: 1-616-676-7190
Mobile: Text Only: 1-713-906-9736

This is for "Old School" Click the button to print this form. You can then email, fax, or mail it to us.

MAIL/FAX Easy Order/Quote Form for WillmarLube TECHNOLOGY

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
 
 
 
 
 
 
 
 
 
 
Sub-Total
Unless Tax Exempt
Michigan Residents Add 6% Sales Tax
Sales Tax
TOTAL USD$

Order Information

Phone:
Primary: 1-616-676-1792
Secondary: 1-616-676-1287
Español / Spanish: 1-616-676-0997
Other
Fax: 1-616-676-1287
Mobile (Text Only): 713-906-9736
Google Voice (Text Only): 1-616-676-7190
Email and Mail
Mail: WillmarLube, P.O. BOX 456, ADA, MI 49301 USA
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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: https://www.willmarlube.com
For more information contact: AT: MAIL TO: sales@willmarlube.com

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