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 New permanent billing address New permanent shipping address This is a drop shipment to a customer 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 Best Ground Rate Use ship method on file FEDEX - Priority Overnight FEDEX - Standard Overnight FEDEX - 2nd day FEDEX - Ground FEDEX - Ground Residential FEDEX - Ground-Collect UPS - Overnight (Red) UPS - Overnight (Red) - Saturday-Delivery UPS - 2nd Day (Blue) UPS - 3 Day Select UPS - Ground UPS - Ground Collect UPS - Ground Residential SpeeDee Delivery (North Central Region) Billing Method Use payment method on file Net 30 Credit Card ACH Checking Withdrawl C.O.D. Will Call 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.