PLASTIC SERVICES
& EQUIPMENT

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PS&E Order Form

In Stock Orders Shipped Same Day*

*Orders must be received by 3:00 p.m. (Eastern Time Zone) for same-day shipping.

Please provide the following information: 
*Required Field

Personal Information

Your Name:        *   
Job Title:             *   
Email Address:    *    

Company Information

Company Name:    *   
Plant Location:         
PS&E Account Number (if known):   
Phone Number:           Ext. 
Fax Number:           

Billing Information


Billing Address Line 1:    *   
Billing Address Line 2:      
City/State/Zip Code:       *     
Country:                         *   

Shipping Information (If different from mailing)

Shipping Address Line 1:   
Shipping Address Line 2:   
City/State/Zip Code:             
Country:                            

Order Information

Purchase Order Number:  *  (Enter "Verbal" if not required)  

For part numbers and pricing click here to go to our online catalog

Quantity Part Number Description Price Each
       
       
       
       
       
       
       
       
       
     

Payment Method:    




Shipping Method:     Specify:   (Note: A $15 Minimum Fee will be applied to all Fed Ex Shipments)


Ship to the Attention of:  

Additional Comments:


How would you like to receive confirmation of your order?



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PLASTIC SERVICES & EQUIPMENT

800-627-1033

Fax:  800-482-4059
| E-mail:  sales@plasticservices.com
| Address:  7925 N. Clinton St., Fort Wayne, IN 46825-3113, USA
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