Thank you for placing an order with DI-PRO. Please note you must have a valid e-mail address and phone number for us to place the order. If you would rather e-mail or fax us a copy of your purchase order, please feel free to do so by e-mailing it to sales@di-pro.com or by faxing it to 559-251-0635. If you have any questions, please feel free to contact us via telephone at 800-286-3643, via fax at 559-251-0635 or via e-mail at jdanner@di-pro.com.

Order Form

Distributor Order Form

New Products
at DI-PRO

Distributors
Order Here

***You must have a valid customer number to use our electronic ordering system.***
If you do not have a customer number, please contact us.

Customer Number

Your Name

Your E-mail

Company Name

Phone#

Fax#

Bill to Address (include City, State, Zip)

Ship to Address (if different from above)

Purchase Order# Due Date

Part#

Part Description

Quantity

Special Notes:

Thank you again for ordering from DI-PRO. An order confirmation will be sent to you prior to entering the order into our shipping schedule. If you have any questions, or if we can be of further assistance, please feel free to contact us via telephone at 800-286-3643, via fax at 559-251-0635, or via e-mail at disales@di-pro.com .