Order Form

Company Name:

Contact Name:

Street Address:

City:

State:

Zip Code:

E-Mail:

Phone Number:

Fax Number:

Method of Shipment:

Metal Threads Inc. • 637 Taft Ave. Hillside, IL 60162 • Phone:(708)449-7655 • Fax:(708)449-1896 • MetalThreads@att.net