Existing Client Order Form

Name *

First

Last

Company Name *

Email *

Phone Number *

Fax

Address *

City *

State *

Zip *

If you would like to attach a purchase order number, please provide it below:

Item Number and/or Description *

Quantity (in cases, pieces or pairs) *

**Minimum case order required for price list items

Price from price list

Ground Shipping Preference

If you have a shipping account you would like to use, please provide the account number:

LTL Shipping Preference

This option is for larger orders (200 lbs or more) that require a skid. If you have a Freight Carrier account you would like to use, please provide the account number. If you do not have a preference choose "SHIP BEST WAY* and we will find our best rate for your shipment

Payment Preferences

For security purposes, never provide credit card or checking account information on this form.

Comment or Message

Name

We offer several ways to open an account: NET 30 (days), credit cards, or the cash in advance method.

Discounts are available for paying early: Net 10 – you’ll receive a 1% discount (this is from the date of the invoice, plus 10 days); Or Net 20 – you’ll receive a .005% discount (this is from the date of the invoice, plus 20 days).

All invoice payments greater than $25,000.00 must be made via wire transfer, check or money order. Hayes will not accept payment in the form of a credit card, debit card or other similar payment devices on amounts greater $25,000.00, unless preauthorized.

Blind shipments are available, there is a $25.00 charge for each order. In addition, we also offer International blind shipping at $100.00 charge for each order.

Please contact Carey Mullens with any questions.
913-782-0046
office@hayestoolingandplastics.net

Existing Client Order Form

Contact

Address: 640 S. Rogers Rd, Olathe, Kansas 66062
Phone: 913-782-0046
Fax: 913-782-6303
Email: office@hayestoolingandplastics.net

where we are

show on map

ALL RIGHTS RESERVED BY HAYES TOOLING AND PLASTICS INC. © 2021 || SITE BY SIMPLE SITE STRATEGIES

Existing Client Order Form

Contact

Address: 640 S. Rogers Rd, Olathe, Kansas 66062 Phone: 913-782-0046 Fax: 913-782-6303 Email: office@hayestoolingandplastics.net

where we are

show on map

ALL RIGHTS RESERVED BY HAYES TOOLING AND PLASTICS INC. © 2021 || SITE BY SIMPLE SITE STRATEGIES

Address: 640 S. Rogers Rd, Olathe, Kansas 66062
Phone: 913-782-0046
Fax: 913-782-6303
Email: office@hayestoolingandplastics.net