Hayes Tooling and Plastics Order Form
City, State, Zip
If you would like to attach a purchase order number, please provide it below:
(Or Item Number)
Quantity (in cases, pieces or pairs)
*Minumum case order required for price list items
Price from Price List
Are you currently a Hayes Customer?
Do you have our current Price List?
*If you need our current pricing, please submit your email address in the next section of this form.
No, please send me one!
Do not fulfill my order until I have received and agreed to current pricing.
What email address would you like us to send our current price list to?
Ground Shipping Preference
We offer FedEx Ground or UPS Ground. If you have a shipping account you would like to use, please provide the account number. If you do not have a preference choose "SHIP BEST WAY*
LTL Shipping Preference
This option is for larger orders (200 lbs or more) that require a skid. If you have a Freight Carrier account you would like to use, please provide the account number. If you do not have a preference choose "SHIP BEST WAY* and we will find our best rate for your shipment
For security purposes, never provide credit card or checking account information via Google Forms.
I'll send a check within 30 days of being invoiced.
Please call me before shipping and I will provide credit card payment information.
Please email me before shipping and I will provide credit card information.
Please send me wire transfer instructions before shipping. *Fees will be applied
Send me a copy of my responses.
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