Online Order Form
To purchase products, please fill out the form below. A representative will follow up with you within one business day to confirm your order.
Company Name:
Address:
City, State & Zip:
Email Address:
Contact Name:
Phone:
Fax:
Preferred Method of Confirmation:
Phone
Fax
Email
Customer Number
New Customer
Method of Payment:
P.O.#
Credit Card
COD
Bill to Address:
City, State & Zip:
Ship to Address:
City, State & Zip:
Qty:
Product Description / Part Number:
Special Instructions
or Comments:
J.L. Wingert Representatives can assist you with the selection of equipment best suited to your specific needs. Contact our customer service department by e-mail at
customerservice@jlwingert.com
or call us Monday through Friday from 7:00 a.m. to 5:00 p.m. PST at
(714) 379-5519
, or fax us at
(714) 379-5549.
Send mail to
webmaster@jlwingert.com
with questions or comments about this web site.
Copyright © 2003 J.L. Wingert Company - Last modified: 3/18/03
