1. Please provide the following information: 

   	BILLING
   Name	*
   Title
   Organization
   Billing Address	*
   Address (cont.)
   City	*
   State/Province	*
   Zip/Postal Code	*
   Country	*
   Work Phone	*
   Other Phone
   FAX	*
   E-mail	*

2. Please provide shipping destination:

   	SHIPPING (If different)
   Name
   Street Address
   Address (cont.)
   City
   State/Province
   Zip/Postal Code
   Country

Qty.	Part Number	Description	Price/Each
Shipping & Handling (See below)
Sales Taxes (If applicable -GA Destinations--See below)
Order Total

3. Please select your shipping method: (Circle One)

   UPS Ground       UPS 2 Day        UPS Next Day Air    Click Here For Standard Rates

   Note for orders over $300: Abrasives are HEAVY--The Shipping & Handling is based on weight and distance and can only be estimated here.  Unless we have already provided you with a firm quote for Shipping & Handling, please submit order and either leave the Shipping & Handling field empty above or fill in our standard rates and we will email you an order confirmation complete with S&H charges to your location.  You will have 24 hours to cancel your order if you choose.

    

4. Select your method of payment: 
   
   Credit Card (Fill out all information below in Step 5)
                           
   UPS COD    (May not be available to all destinations)
   
   Prepayment via Check/Money Order/Cashier's Check 
          Complete and submit this form to us and we will email/fax an order confirmation number and an order total back to you.  
            Instructions will be  included on your order confirmation regarding where to mail your check, etc..
   

5. Please provide your credit card information:
   Note: Your credit card may be charged when your order is entered not when it is shipped.  Special Order items
   will always be charged when the order is entered as they are non-cancelable and non-refundable unless we have
   erred in some way - Please read our Terms & Conditions or contact us if this is not clear.
   

   Credit Card Type	(Circle One) Visa   MasterCard    Discover   American Exp.
   Cardholder Name As it appears on Card	*
   Card Number	* (No dashes)
   Expiration Date	* (mm/yy)
   Name of Bank on Card
   Address Where You Receive Your Credit Card Statement  (Billing Address On Card)	Address* City State Zip* Country
   Three digit security number located on back of card