Customer Parts Request

Parts Ordering Work Flowchart Example

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Department Name

Contact

This is the AUTHORIZED personnel within the organization to make financial commitments

Phone #

This is the AUTHORIZED personnel within the organization to make financial commitments

Phone

Estimate Required (Y/N)

Estimates are valid for thirty (30) days. Total cost(s) may exceed the quoted price. Shipping is not included in price estimates, which will be calculated at the time of shipment.

Order Method

Apparatus/ Vehicle Manufacturer

Pierce Job # / Vehicle VIN

Part Number

In order to receive the 1% discount, the manufacturer's part number must be provided on all listed parts. All sales are final on customer-provided part numbers. No returns.

Part Description

File Upload

If necessary, pictures and/or video of the item requested can be uploaded to show the item, function, and relative location.

ORDERING MORE THAN ONE PART?

CLICK AND DOWNLOAD THE SPREADSHEET AT THE LINK BELOW

ORDER SHEET

UPLOAD YOUR LIST FOR PART NUMBER(S) VERIFICATION AND EXPEDITED PROCESSING

Drop your files here

Requested Quantity

Ship To Address

Invoice Preference

COD

Emailed

Mailed

Hyperlink

Paste the web address below of the part requested if found online

Payment Method

Send me a copy of my responses

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