JLT ORDER FORM FOR PARTS AND/OR MACHINES

* All orders emailed will be processed on the next business day.
* An order confirmation will be sent via email to reflect ship date and purchase total.
* All Credit Card numbers are kept completely confidential and can only be processed with expressed consent.

SOLD TO  
Company Name:  
Email Address:  
Contact Name:  
Phone Number:  
Address:  
City:  
State:  
Zip Code:  
 
SHIP TO  
Company Name:  
Address:
City:
State:  
Zip Code:  
   
Purchase Order #:
Credit Card: Visa Mastercard American Express Discover
Credit Card Number:
Expiration Date: Month Year
 
**If you would like to pay by check - Please check here and JLT will send you an order invoice for payment.
ALL orders are CIA. JLT will ship your order the day we receive full payment via company check, wire transfer or bank check.
 
SHIPPING INSTRUCTIONS    
Parts:
UPS Ground      UPS 3 Day Select      UPS 2nd Day Air      UPS Next Day Air     UPS COD     Customer Pickup
Machines: JLT Preferred - LTL Truck Carrier is Estes Express (we will provide via email exact freight charges on your order prior to shipping)
Estes Prepaid & Add
Estes Collect
 

Quantity Part Name/Model:
Part/Machine Description:
List Price:
Ordered By :
Date:
Additional comments or info:
 
  



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