Note: G.A. Murdock sells only to OEM's, distributors and other qualified companies. We do not sell directly to consumers. For more information, please visit our FAQ. G.A. Murdock Inc.    Telephone:    Facsimile:    Email: 605.256.9632 or 800.568.7565 605.256.9682 or 800.568.4301 sales@gamurdock.com Company Name* Purchase Order Number Contact* Account Number Billing Information Shipping Information This is a new Billing Address Same as Billing Address Billing Address* Shipping Address Billing Address 2 Shipping Address 2 City* City State/Province* Zip State/Province Zip Country Country Telephone Email Fax Internet Address Order Confirmation Email    Fax Shipping Method FED EX - 2nd day FED EX - Express FED EX - Ground FED EX - Ground Residential FED EX - Ground-Collect UPS - 3 Day Select UPS - Blue-2nd Day UPS - Ground UPS - Ground - Residential UPS - Red-1 Day UPS - Red-Saturday-Delivery UPS - Standard UPS - Standard-Collect Billing Options Use pay method on file Net 30 Credit Card ACH C.O.D. Will Call Net 30    COD PartNumber Description Qty Price Ext. Price Additional Comments: Warning: Do not submit your credit card information on this form. If you have previously purchased from our company, we will use your credit card on file, otherwise please contact us at 800-568-7565 to add payment information to your account.