Meyer Steel
Drum, Inc.
Order Form
This form is supplied as a Guide to sending
e-mail ORDERS
(1) Click on MAIL (2) Click on SEND PAGE (3) FILL OUT Order Form (4)Send to
- OR -
Print Page and FAX to 773-376-7060
Your Company Name_________________________________________________P.O..#__________________.
Ship To Address_____________________________________________________________________________
Bill To
Address______________________________________________________________________________
Your Phone Number________________ Your
Fax Number________________ Your e-mail________________
Date You Need
This Order_________________________Special
Instructions___________________________
___________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
DRUM SPECIFICATIONS
Quantity___________ P.O. Number________ Open Head_________ Tight
Head ________ Agitator_______
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Revised
March 6, 2006