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Ordering Information - Nexel Products

        Contact Steve Stromsness at (952) 828-7322.

In order for us to serve you better, please fill out this form completely.  THIS IS NOT A FINAL ORDER.  We will send you a confirmation of your items, quantities, costs, shipping/lead times, and any other applicable information, plus instructions on how to finalize your order securely.  

Prices subject to change. A minimum order amount of $50.00 applies.

Name: 

Company Name: 

Address 1: 

Address 2: 

City: 

State:    Zip Code: 

Phone: 

Fax: 

Email: 

Model No.                Description                                             Qty. 

                     

                     

                     

                     

                     

                     

                     

                     

                     

                     

Discount Code: 

Additional Comments:

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