Clip Order Form

Dallas Metal Products, Inc. PRO + GRADE Order Form

Please fill out form completely and with as much description as possible. If you are a first time customer you will be contacted within 48 hours to confirm your order.

Full Name ( last, first ) *

Phone Number * (we will need this to confirm your order)

Email Address

Shipping Address *

Date Order Placed *

Your P.O. #

Ship Date

Terms Earliest Ship FOB Ship Via

Quanity Product Name List Unit Price Total

I would like to receive my 2% discount for ordering online

* required fields