Model Order Form
Company Name:
Your Name:
Purchase Order#:
Title:
Address:
City:
State:
Zip:
Phone:
Fax:
E-Mail:
Type of Process:
Comment or requests:
Note: Drawings or prints should be forwarded to us by fax or e-mail in AutoCad or IGES format.
Pacific Injection Molding Corp.
 122 Ohio Street. Suite#105 Bellingham, WA. 98225
(360)733-7466 phone 676-7466 fax
Copyright 1999, Pacific Injection Molding Corporation
All Rights Reserved
Created by Webreign Graphics
Division of 3D Computer Corporation