Fax/Mail/Phone Order Form
96
Hy-Ko Products Company 60 Meadow Lane • Northfield, Ohio 44067-1415 330 • 467 • 7446 800 • 896 • 7890 Fax: 330 • 467 • 7442 E-Mail: cservice@hy-ko.com www.hykokeys.com
1) Important! Please Complete The Information Below For Fast Processing!
(Only if different from Bill To)
Name
Name
Address
Address
City
City
State
Zip Code
State
Zip Code
Country
Country
Order Date
Ship Date
Order Authorized by
Purchase Order Number
(
)
Phone Number
Store Number
(
)
Fax Number
Credit Approval Number
2) Place Your Order Here
Unit
Hy-Ko
(Each/Dozen/ Quantity Ordered Assortment)
Stock
Product Description
Unit
Extension
Number
(Use Color & Size Where Necessary)
Cost
(Total Cost)
Page _________ of _________
330•467•7446 800•896•7890 Fax: 330•467•7442 E-Mail: cservicehyko@mwf.net www.hykokeys.com
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