Kool Tek

  Order Form

If you have never ordered from Kool Tek before...
 1. Download 3 forms by clicking here
2. Fill out credit card application, credit card authorization form and order form.
3. Fax all 3 forms to 813-298-1993

If you have placed an order with Kool Tek in the past...
Please complete the form below. Once you click the "Send Order" button your order is emailed to our customer service department. When we receive your order we email a confirmation that it was received and will be shipped. You may want to print a copy of your order BEFORE clicking "Send Order". Feel free to contact us with any questions.



 * Indicates a required field.

BILLING

Company Name*
Contact*
Customer#
PO#
Salesman Code
Street Address
City*
State
County
Zip*
Phone*
123-123-1234
Fax
Email* 

 

SHIPPING

Company Name*
Attn:*
Street Address
City*
State
Zip*
County
Phone*
123-123-1234
Fax
Delivery (commercial or residential)


Special Instructions/Comments:

 
Start your order in this column
working down.		 Continue your order here if you need
more than 30 items.

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