"Dedicated to our goal of continuous improvement, Core Tech is committed to providing, in a timely and cost-effective manner, products which meet or exceed our customers' expectations, with safety and quality as our leading priorities."

Customer Order Form

Account Name

Phone:

Contact Name

FAX:

e-mail:

please note: your e-mail information is necessary for us to send your order confirmation. All information is kept confidential.

Order Date mm/dd/yyyy

Part No.

Quantity

Delivery Date mm/dd/yyyy

P.O.

Priority

Customer Comments:

Thank you for your order! Upon clicking "Submit," you will be redirected to a confirmation page. Your original order page will remain open, and you may print a copy for your records. You may then reset the form or simply close this window.

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