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PRODUCT ORDER FORM
All inquiries and sales orders are routed to the appropriate local sales organization.
Please complete all fields to allow us to process your order promptly.

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Add additional products here or skip to the next section of the form.

Order Code

Qty.

Date Needed
Bore 1 Bore 2 Length
Standard keyways? Yes No
If no, please specify
Special instructions?

 

Order Code

Qty.

Date Needed
Bore 1 Bore 2 Length
Standard keyways? Yes No
If no, please specify
Special instructions?

 

Order Code

Qty.

Date Needed
Bore 1 Bore 2 Length
Standard keyways? Yes No
If no, please specify
Special instructions?


Payment Information

Rimtec now accepts payment via major credit card or purchase order. Please indicate desired payment method below. A Rimtec sales associate will contact you to confirm your order.
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Shipping Instructions
Rimtec ships UPS ground unless otherwise specified.
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Copyright 1999-2004 Rimtec Corporation, 211 S. Lombard Road, Addison, IL 60101
Toll Free: 877-4RIMTEC (877-474-6832) ~ Phone: 630-628-0036
Fax: 630-628-0041 ~ Email: info@RimtecCorporation.com
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