Quick Order Form   Quick Order/Quotation Form   Please enter your account number: (You can find your account number on any Mill Supplies invoice: located in the upper left hand corner.) Credit Card Users: (Enter information in comments)  P.O. Number: (Please Note if Quotation) Comments: Special country restrictions may apply. Fed Ex (Priority Overnight) UPS (Ground 3-5 Days) First Class Mail (2-3 Days) Pickup (Ft. Wayne) Pickup (Indpls.)) MSI Truck Other (specify in Comments) Mill Supplies Order Form Qty Part # Description Price Accept B/O Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No The information in the fields labeled with an (*) is Required. Bill To : Name:(*) Company (*) Address: City: State: Province: Zip/Postal Code: Country: Phone: (*) Email (*) Ship To: Provide Ship To: information if different then above! First Name: Last Name: Company Address: City: State: Province: Zip/Postal Code: Country: Phone: Online Specials

 
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MSI Fort Wayne 5105 Industrial Road Fort Wayne, IN 46825 Customer Service: 260-484-8567 Fax: 260-483-0006 800-589-5353

MCIS Indianapolis 7522 Pendleton Pike Indianapolis, IN 46226 Customer Service: 317-545-6904 Fax: 317-545-6940 800-535-0680

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