Supply Request Form at Halvor Lines - Nationwide Trucking Services

Supply Request Form

PLEASE FILL OUT
PRIOR TO NEEDING AN ITEM SO THAT WE DO NOT RUN OUT - Thanks

HIGH VOLUME ITEMS
ORDERED in 1 YEAR Quantities
If this is a high volume item please specify what your dept will use in 1 year intervals.
IE: Freight Bill Envelopes, Bill of Lading, log books, etc.

Person placing order: * Required before proceeding
Phone: * Required before proceeding
e-Mail address: * Required before proceeding

Vendors name: IE: JJ Keller
Size: IE: extra small, small, medium, large, ex large, fine, med, etc, 3" 3 ring binder
Item Number: IE: * Please look at your item that you are ordering and write down any numbers that look helpful.
Quantity needed: IE: 1 year supply * Required

Description of item if needed: IE: Any additional info is helpful. Look on the box too..

Date needed by:

Is this a reorder?

Notes:

You should receive a confirmation after submitting.
Thanks again!