Affordable Molding Systems!

Print and Fax or mail Order Form.
Mail or Fax To:
WDR Sales Co.
9604 Belmont Ave.
Kansas City MO 64134
Phone:800-444-2755
Fax:816-763-3136
 
Mon - Thurs8:00AM - 4:00PM
Fri8:00AM - 4:00PM
Sat9:00AM - 2:00PM
All Times Central Standard
Method of Payment
Master CardVisa
C.O.D
Check/Money Order Enclosed

Credit Card Number and Expiration Date

Signature as appears on card
Subject to acceptance by issuing bank. If your credit limit is not sufficient to cover the amount, simply ask your credit card bank to increase your credit limit.

Thank you for your order!

Sold To:
Name:
Address:
City:
State:
Zip:
Phone:
Ship To:
Name:
Address:
City:
State:
Zip:
Phone:
Quantity








Item#








Description of Item








Each








Total








 Subtotal

We are required to collect sales tax according to the taxable rate applicable to the area where delivery is made.    All orders without shipping and sales tax included will be shipped C.O.D. for the balance due.

                          THIS FORM CLEARS ITSELF EVERY TIME YOU LEAVE!    Hit Counter

                                    Print and Fax or mail Order Form.

Sales Tax
Shipping$6.50
TOTAL