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CBW Mfg., Inc. Order Form

Use this form to place your order or call us at 1-800-742-1446, anytime Monday thru Friday, 8:00 am to 5:00 pm ET.

All ITEM DESCRIPTION, SHIPPING INFORMATION, AND PAYMENT METHOD information must be provided for us to complete your order.

  1. Please select the product by clicking on the pull down arrow in the Item Description box and clicking the specific product you wish to purchase.  Then use the pull down arrow to select the quantity you wish to order for each product that you have selected.  

ITEM DESCRIPTION QTY

Note:  An additional 6% sales tax will be added for all Florida residents. 

  1. Please provide your shipping information below.
SHIPPING INFORMATION
Ship Via UPS

Ship to Name

Street Address

Address (cont.)

City

State/Providence

Zip/Postal Code

Country

Note:  Shipping and Handling charges are based on package weight, size and destination.  These additional charges will be added to your order.  

  1. Please provide your credit card information below.  

PAYMENT METHOD

Credit Card

Cardholder Name

Card Number

Expiration Date

 
  1. Please provide the following information about yourself.
CONTACT INFORMATION
Name
E-mail
Phone

Select Yes, if you would like us to contact you with the total purchase amount, including sales tax (if applicable) and shipping/handling charges.  Please note, if you select "Yes - Hold Shipment" for this item, your order will not ship until we receive your approval on the quote.  Otherwise, your order will ship within one business day.