Product Order Form


Aluminum Brazing Rod

To Order  by Credit Card using Paypal


Click Here


To Order by Mail, Phone or Fax:


Complete this form and print out using the print button on your browser


Mail or Fax this completed form to:

Mid-Am Marketing
3144 Hwy 159
Nortonville, Kansas 66060

Fax:  913-886-2747

Or Phone in Your Order at 913-886-2747


Name:    
Company Name:  

Address:  

City:    State:  
Zip:  

Telephone:  

E-Mail Address:  

Product Description Quantity Price Extended Price
(Quantity X Price Each)
HTS-735 II  1 Package ( 25 Rods)   $59.95
HTS-735 II  2 Packages (50 Rods) $100.00
HTS-735 II  10  Packages  (each package containing 25 Rods) $450.00
Shipping and Handling $7.00   10 Packages add $63.00
Tax (Kansas Residents add 7.25%)
Total Enclosed (Check or Cashier's Check)

Please provide the following information for Credit Card Orders:

Visa     Mastercard     Discover

Card Number 

Expiration Date 

CVV2 Code   
        3 Digit code found on the back of your credit card

Questions?  Please Contact us via e-mail
 Midammarketing@yahoo.com
or Call our office at 913-886-2747

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