Company Info Mini Grated Mill Products Specials Shop Inventory Order Status Place an Order Request a Quote Sales Territories Employment Site Map
ACME Steel Company

New Customer Order Form

Purchase Order No: 

If the "Sold To" info is the same as "Ship To", you may skip the "Ship To" fields.

Sold To
Name: 
Title: 
Company Name: 
Department: 
Address: 
City: 
State: 
  Zip: 
Country: 
Phone: 
E-Mail: 
Ship To (skip ahead if same )
Name: 
Title: 
Company Name: 
Department: 
Address: 
Suite: 
City: 
State: 
  Zip: 
Country: 
Phone: 
E-Mail: 
Credit References
Please provide 3 credit references (steel industry preferred)
Credit Reference 1Credit Reference 2
Contact Name: 
Contact Title: 
Company Name: 
City: 
  State: 
Phone: 
Contact Name: 
Contact Title: 
Company Name: 
City: 
  State: 
Phone: 

Credit Reference 3Comments:
Contact Name: 
Contact Title: 
Company Name: 
City: 
  State: 
Phone: 

DIMENSIONS
Part # or Name
__		 Quantity :

in lbs. or kgs.		 Use Metric
_Yes
No		 Date Required

mm/dd/yy
Thickness : Width : Length :
Tolerences

Special Instructions/Comments: if "other" is selected above, please specify here.

DESCRIPTION:
PRODUCT
Strip _Sheet _U.M. Plate _M.E. Plate
Bar _Hoop _Other (please specify):
CATAGORY
Carbon _Alloy _Boron _HiStrength Low Alloy
_Other (please specify):
QUALITY
CQ _DQ _AK _PQ
MQ _SQ _Other (please specify):

HOT ROLLED_ COLD ROLLED_
Check all that apply
Plain Pickle Oil
Dry Galv Trim Edge
Slit Edge Mill Edge Box Ann
Sphero Ann Stress Relief
Other (please specify):
CR FINISH ...
CR EDGE ...
CR TEMPER ...

GRADE
Type:
Customer/Industry Specs:

CHEMISTRY
C Min. % Max. %
Mn Min. % Max. %
P Min. % Max. %
S Min. % Max. %
SI Min. % Max. %
Chemical Comments:

COIL _ CUT TO LENGTH_
ID Min. Max.
OD Min. Max.
WT Min. Max.
PIW Min. Max.
Bundle _ Pc Count _
Shorts Allowed Yes No
Under 4.5" width
Stack Req.?		Yes No
Ship Unit : ___ Min.___Max.

PACKAGING AND LOADING INFORMATION
Roll Position Skids
Blocks Spacers
Side Unload_ or_ Rear Unload_______ Forklift_or _ Crane__

Flatbed Only__ Lowside__ Van__ Container__

Comments:

SHIPPING INFORMATION
Customer Truck __ __Rail Common Carrier __
Pre Paid__ Collect Preferred Carrier
Comments:

13500 SOUTH PERRY AVENUE, RIVERDALE, ILLINOIS 60827 (708) 849-2500

| Home Page | Company Info | MiniGrated Mill | Products | Specials | Shop Our Inventory | Order Status | Place Order |
| Request Quote | Sales Territories | Employment | Scrap | Request Info | Site Map |