OrderForm

Order Form

Ferro Industries, Inc.
P.O. Box 86
Mt. Clemens, MI 48046

Phone Number : 1-800-343-3776
Fax Number : 1-586-792-6006
Email Address : sales@ferroind.com

	BILLING ADDRESS		SHIPPING ADDRESS
Customer's Name		Company
Company		Address
Address
		Attention to
City		City
State/Province		State/Province
Zip or Postal Code		Zip or Postal Code

Purchase Order Number			Choose how you want your items shipped
Buyer			Ship via UPS ground and add to invoice
Phone Number			Contact me for shipping method
E-mail Address			(please fill in contact information if chossing this option)

Select your Payment Method
	Bill my Account
	Contact me for billing purposes

Part Number	Part Description	Quantity	Unit Price	Line Total












			Subtotal
			Tax
			Miscellaneous
			Shipping
			Total