World Wide Electric, Inc 2235 E. Francis St Ontario, Ca 91761 Phone-866.427-3946 Fax-909-230-4829
Ship To:
Bill To:
Vendor: World Wide Electric, Inc.
PO #
PO # Date:
Account Number:
Service Center Name:
Authorized Signature:
Contact Person:
Payment Type (Circle One)
Credit Card
COD
Open Acct
Prepaid
Phone Number:
Fax Number:
Credit Card #
Part#
Model#
Description
QTY
Unit Price
Extended
Price
Total
IMPORTANT:
TO RECEIVE PROMPT PROCESSING, PLEASE FOLLOW THE INSTRUCTIONS BELOW
1. This form is to be used for parts orders only. Service Manual requests are to be emailed to
.
2. Please type or print clearly.
3. Refer to the Service Manual for part umbers and descriptions.
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4. Incomplete forms will be rejected.