Please use the following Form to Place an Order with CGS
The completed form will be sent via E-Mail to a CGS sales representative and you will be contacted with a confirming sales order and delivery information as soon as possible.
* REQUIRED AREAS *

*Customer Name:		*Fax Number:
*Contact Phone:		*Person to Contact:
*Email:		*Purchase Order # :
*Preffered Shipping Method		*Freight Collect Account #

Order #1	EDP #			QTY.
Order # 2	EDP #			QTY.
Order # 3	EDP #			QTY.
Order # 4	EDP #			QTY.
Order # 5	EDP #			QTY.
Order # 6	EDP #			QTY.
Order # 7	EDP #			QTY.
Order #8	EDP #			QTY.
Order #9	EDP #			QTY.
Order # 10	EDP #			QTY.
Order # 11	EDP #			QTY.
Order #12	EDP #			QTY.
Order #13	EDP #			QTY.
Order #14	EDP #			QTY.
Order # 15	EDP #			QTY.

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