To place a order either call us @ 800-284-7315 or email the below form to midsoth.industries@hotmail.com

SHIP TO:                                                                                                          BILL TO ( IF DIFFERENT THEN SHIP TO )
COMPANY NAME _______________________________________                                
ADDRESS  ______________________________________________                                ADDRESS ___________________________________________
CITY ______________________________   STATE____________                                  CITY __________________________  STATE ______________
ZIP _____________                                                                                              ZIP_________________
PHONE ________________________
NAME ______________________________                                                                EMAIL ADDRESS _________________________________________


QUANTITY                   SIZE              DESCRIPTION / ITEM NAME                                                      PRICE
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                                                                                                                                                             SUB - TOTAL ______________________
                                                                                                                                                             SHIPPING ________________________
                                                                                                                                                             TAX ( NC 7% & PA 6%) ___________

                                                                                                                                                              TOTAL _______________________

SHIPPING PRICES 
BLADES - FOR EVERY 12 BLADES (4" - 10") $25      (12" - 36") $35              SAWS $55

PAYMENTS
30 DAY BILLING **** ONLY FOR CUSTOMERS THAT ALREADY HAVE ACCOUNT
CREDIT CARD # _____________________________________________________________   EXP ____________  CSV __________  ( 3 on back / 4 front American Exp)
ZIP CODE CREDIT CARD BILL GOES TO ________________                                                                                               

ORDER