TASMAN ONLINE ORDER FORM
JOB NAME:
*
ORDER NUMBER:
*
ADDRESS
*
ORDER DATE
*
-
Month
-
Day
Year
PICK UP?
*
YES
NO
DELIVERY OR PICK UP DATE
*
-
Month
-
Day
Year
Date
DELIVERY OR PICK UP TIME
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
CONTACT NAME
*
CONTACT PHONE NUMBER
*
OTHER INFORMATION
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PIPE FULL/HALF LENGTH
Please input pipe quantity at text box
[GALV FULL SIZE]
[GALV HALF SIZE]
[MED FULL SIZE]
[MED HALF SIZE]
[LIGHT FULL SIZE]
[LIGHT HALF SIZE]
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ROLL GROOVED FITTINGS
Please input quantity at text box
RG ELBOW
RG TEE
CPL RIGID
CPL FLEX
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GAL MAL FITTINGS
Please input quantity at text box
EQUAL TEE
HEX NIPPLE
EQUAL ELB
M&F ELB
CROSS TEE
SOCKET
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GAL MAL FITTINGS CONTD.
Please input quantity at text box
REDUCING TEE
REDUCING ELB
BUSH
REDUCING SOCKET
UNION
FLEXI
ACCESSORIES
SUMMY
TEK SCREW
MISC
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SPRINKLER HEADS
Please input quantity at text box
SPRINKLER HEADS - QR
SPRINKLER HEADS - SR
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MUNZING RING
Please input quantity at text box
ESCUTCHEON PLATES
Please input quantity at text box
YOKE CLAMP
Please input quantity at text box
ROD(mm)
Please input quantity at text box
PURLIN CLIP
Please input quantity at text box
U-BOLT
Please input quantity at text box
FIXING & SEISMIC
Please input quantity at text box
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OTHER
Please input other products you want to order
Submit
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