On line order form

Please fill in this order form and click on   Submit    at the bottom of the page.

Customer nr : (for existing customers only, 6 digit number on the top right portion of your invoice)
Company :
Attention :
Address :
City State Zip :
Type of business :
Phone :
Fax :
E-mail :
Payment :

Credit Card
Card nr : Expiration : Type :
you can also call in your credit card information at (800) 726 6110
COD Money order / cashier's check

Special instructions:
Order : Please list the item number, qty and price as well as any specifications (sizes, color, etc) needed.
Press enter at the end of each line.

      

Copyright © 1999 PAM Trading Inc., last revision 2/8/99