Tan-Tech Services Inc.: Online Parts Order Form

OFFICAL RIZZI AGENT
Effective January 1^st 2003
SEE OFFICIAL RIZZI NOTICE

Online Parts Order Form

Ordering online is fast and easy. Simply fill out the form below, and click the "Submit Order" button. If you would like the information you enter to be saved on your hard drive, so that it is automatically re-entered the next time you place an order, check the "Remember my information" box before hitting Submit. Please note that your browser must support Javascript and cookies in order for this feature to work, but you can of course place orders without it.

* = required field

1. Contact & Shipping Information
Your Name*
Your Job Title
Company*
Street Address*
Address line 2
City*		State/Province
Country*		Zip/Postal Code
Phone*		Fax
E-mail*

2. Product Information
RIZZI Model
Serial Number
Providing part numbers will speed up the process and ensure accuracy:
Part #	Description

3. Purchase Order Information
In case of URGENTLY required parts, please enter a P.O.# which will speed-up the process:
Purchase Order #

4. Additional Information or Comments

Online Parts Order Form

1. Contact & Shipping Information

2. Product Information

3. Purchase Order Information

4. Additional Information or Comments

Remember my information for future orders