Lakewood Filters, Inc. Email Order Form

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Place Your Order Here

To efficiently facilitate orders and provide the best service to our customers, we guarantee that:

Product ordered from general inventory will ship out within two days.
Special orders are fulfilled daily.
Emergency orders will be responded to immediately.
On-time delivery of products and services is our goal.
LFI delivers anywhere in Southeastern Wisconsin with our own trucks.

Online Email Order Form--Please complete all fields that apply.
Order Date - - (MM/DD/YY)

Billing Information

Shipping Information

Business Name

Business Name

Contact Name

Contact Name

Billing Address

Shipping Address

City

City

State	Zip Code

State	Zip Code

Phone

Email

Fax

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SPECIAL INSTRUCTIONS

After you have submitted this form, you will be contacted by phone
for verification of your order, payment method.

LAKEWOOD FILTERS, INC.
5030 North 124th Street, Milwaukee, WI, 53225
Phone: (414) 461- 4788 Fax: (414) 461- 4938
E-mail: sales@lakewoodfilters.com

We Gladly Accept

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