Order Form

Current Taiyo Customers: Fill out the form below and submit it, or FAX your order to either of the following DIRECT fax lines: (775) 461-8443 or (775) 461-8446. Once your order is received by Taiyo America, a Customer Service representative will contact you within one business day via phone or email. NOTE: If you are not a current Taiyo America customer, steps will need to be taken to become one before your order can be processed. Please call us at (775) 885-9959, ext. 3 to set up an account.

Purchaser’s Name: *

P.O. #:

Required In-House Date:

Shipper/Carrier:

Method of Service:

Phone #: *

Company Name:

Ship to Address:

E-mail Address:

Collect Freight Acct #:

Part # (Optional)

Product Name

Size

# of Units

Total Kg’s

Comments:

Captcha *

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Note: For products that are in stock, we will make every effort to ship by the end of the next business day!
If you have any questions, or wish to pay by credit card, please contact Customer Service at 775.885.9959, ext. 3.