Custom Wire Products
— email-form —
Purchase Order /
Request for Quote
E
stablished customers & repeat orders;
or new customers / new product type.
Company Name
Contact Info
Contact Name
(required)
Email Address
(required)
Contact Telephone
Contact Fax
Purchase Order #
We previously have ordered from
Custom Wire Products
Yes
No
Quote/Info reply via
Email
Fax
Printed
Product
This product is a repeat order
Yes
No
Description
Finish
Powder coating
Plating
Time-frame needed
Quantity
Bill To
Billing Address
City; State/Province
Zipcode; Country
Ship To
(if different from above)
Shipping Address
City; State/Province
Zipcode; Country
Ship via
FedEx
UPS
fastest
cheapest
Individual boxing / packaging
Yes
No
You will be returned to the main page.
No Catalogs:
All
products are
custom-made
. We do
not
issue catalogs — but we are more than glad to do any work from one piece to thousands of pieces. Our service is friendly and prompt. Please call to discuss your requirements.
Privacy:
We do not sell or share any information submitted to us.
Acknowledgment:
After your Purchase Order / Request For Quote is sent, you will be returned to the Custom Wire main page, and we'll send you an email acknowledgment.
Print:
To print this form before emailing it, Click in this portion of the window and then select Print.
Custom Wire Products
Home
7580 North Avenue
Lemon Grove, California 91945
Telephone:
1 – 619 – 469-2328
Toll-free (Calif.):
1 – 800 – 404-2328
Copyright © 1999-2005 Custom Wire Products
www.Custom-Wire.com
Email:
zack@Custom-Wire.com
Fax:
1 – 619 – 469-4809