EroSteel.com :: Offline Order Form


Offline Printable Order Form	Click here for Adobe Acrobat PDF Printable Version	Return to Previous Page

This order form is provided for customers who prefer to use the traditional offline ordering method.
Complete all the required information, then click the "Print" button at the bottom of the page.

Shipping Information:		Billing Information
		If Same As Shipping Click Here:
Title/Age:	[ Mr., Mrs., Ms.]	Title/Age:	[ Mr., Mrs., Ms.]
First Name:		First Name:
Last Name:		Last Name:
Address:		Address:

Apt #:		Apt #:
Zip Code:		Zip Code:
City:		City:
Province/State:		Province/State:
Country:		Country:
E-mail:		E-mail:
Telephone:		Telephone:
Telefax:		Telefax:

Payment Details: Please select the appropriate payment type:

Personal Check	Money Order	Wire Transfer
Company Check	Certified Check

Cheques and money orders should be made out to EroSteel Industries and mailed or faxed to:

EroSteel Industries
9505 Henri Bourassa East
Rivieres-des-Prairies
Quebec, Canada, H1E1P7

Dialing: Montreal, Quebec, Canada
Telefax: # 1-514-648-4806
E-Mail Orders: EroSales@EroSteel.com
Office Hours: Monday to Friday: 9:00 AM - 5:00 PM-EST

List the items that you wish to order....

Code:

Product Name:

Quantity:

Size:

Single Price:

Total Price:

Sub-Total

Shipping
Charges:

Shipping/Postal charges originate from Canada; [US$ Currency] [Surface Parcel]
Order total	Canada & U.S.	International
$0.01 - 9.99	+ $3.50	E-Mail Us for Rate
$10.00 - 49.99	+ $6.50	E-Mail Us for Rate
$50.00 - 99.99	+ $8.95	E-Mail Us for Rate
$100.00 - 199.99	+ $15.95	E-Mail Us for Rate
$200.00 - 299.99	+ $24.95	E-Mail Us for Rate
$300.00 and over	E-Mail Us for Rate	E-Mail Us for Rate

Date:

Total

Signature:

Total $ Amount Enclosed
[US$ Currency Only Accepted]

Note: All orders will be verified and confirmed via e-mail or fax prior to us processing your payment.
Please enter any notes, feedback or special instructions in this section only;

When you have completed all the required information click on the "Print" button below.
Or click on the "Clear" button and start again!