Kool Tek - Order

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.

NOTICE: Other than for sales to locations in Florida, Kool Tek LLC. is not responsible for and does not collect any sales or use tax, therefore, you must remit any sales or use tax due on this transaction to the appropriate state. If Kool Tek LLC. is later assessed tax by a state other than Florida as a result of your failure to remit the entire tax due, you agree to reimburse Kool Tek LLC. for all tax, interest and penalty assessed with respect to this transaction.

* 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.
	Part#	Qty		Part#	Qty
1			31
2			32
3			33
4			34
5			35
6			36
7			37
8			38
9			39
10			40
11			41
12			42
13			43
14			44
15			45
16			46
17			47
18			48
19			49
20			50
21			51
22			52
23			53
24			54
25			55
26			56
27			57
28			58
29			59
30			60