Filter Order Form

Company*
Address*
Address, City, Zip
Contact*
Phone Number*
Email*
PO #
Which filter would you like today?*

Frame onlyFrame with mediaMedia Only . (No frame)Electrostatic (Washable)Alum. Mesh (Washable)
Media Type:*
How many pads:*
Select sizing type*

Exact SizeStandard Size
◈ Exact Sizing: We will produce filter exactly the same size as you order.
◈ Standard Sizing: We will take 1/4 " off of each measurement.
◈ ie: 20 x 20 x 1 Standard, will be produced [ 19 3/4 x 19 3/4 x 3/4 ].
Filter Size: Length* X Width* X Thickness*
How would you like to receive your order?*

Ship direct to your customerPickup (M-TH 8-3, F 8-12)Courier to your shopDelivery*
Ship direct to your customer:*

Customer's name

Street Address

CityZip Code

Zip Code
Quantity
Notes for us:
Add another item to my order
#2 Which filter would you like today?*

Frame onlyFrame with mediaMedia Only . (No frame)Electrostatic (Washable)Alum. Mesh (Washable)
#2 Media Type:*
#2 How many pads:*
#2 Select sizing type*

Exact SizeStandard Size
#2 Filter Size: Length* X Width* X Thickness*
Notes:
Quantity
Add another filter to my order
#3 Which filter would you like today?*

Frame onlyFrame with mediaMedia Only . (No frame)Electrostatic (Washable)Alum. Mesh (Washable)
#3 Media Type:*
#3 How many pads:*
#3 Select sizing type*

Exact SizeStandard Size
#3 Filter Size: Length* X Width* X Thickness*
Notes:
Quantity
Add another filter to my order
#4 Which filter would you like today?*

Frame onlyFrame with mediaMedia Only . (No frame)Electrostatic (Washable)Alum. Mesh (Washable)
#4 Media Type:*
#4 How many pads:*
#4 Select sizing type*

Exact SizeStandard Size
#4 Filter Size: Length* X Width* X Thickness*
Notes:
Quantity
Add another filter to my order
#5 Which filter would you like today?*

Frame onlyFrame with mediaMedia Only . (No frame)Electrostatic (Washable)Alum. Mesh (Washable)
#5 Media Type:*
#5 How many pads:*
#5 Select sizing type*

Exact SizeStandard Size
#5 Filter Size: Length* X Width* X Thickness*
Notes:
Quantity
Add another filter to my order
#6 Which filter would you like today?*

Frame onlyFrame with mediaMedia Only . (No frame)Electrostatic (Washable)Alum. Mesh (Washable)
#6 Media Type:*
#6 How many pads:*
#6 Select sizing type*

Exact SizeStandard Size
#6 Filter Size: Length* X Width* X Thickness*
Notes:
Quantity
Should be Empty: