D.I. Roof Seamers Order Form

Processing Your Order

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Your copy of this order should download automatically. Please save it for your own records.

We will also email a copy to the email address you provided as the Billing Contact.

Another email will be sent when your order ships.

Thank you for your choosing D.I. Roof Seamers.

JOB INFORMATION
* We need to know when the order is placed if this job is new construction or if it is a preexisting building.

* Is this your first time renting from D.I. Roof Seamers?

* P.O./Job Number
* Panel Manufacturer
* Panel Name
* Material
	Stand-Up Crimper $12/Day

Special Instructions

BILL TO
* Company
* Contact
* Address
* City
* State/Province
* Postal Code
* Country
* Phone
* Email
* Fax

SHIP TO
Check this box to transfer Billing Information to Shipping Information.
* Company
* Contact
* Address
* City
* State/Province
* Postal Code
* Country
* Phone
* Email
* Fax

SHIPPING INFORMATION
All items will be shipped UPS Ground unless otherwise noted. You are responsible for all freight charges.

* Shipping Method
* Date Needed On Site

CREDIT CARD INFORMATION
Please enter the following information as it would appear on your Credit Card Statement.
Check this box to transfer Billing Information to Credit Card Information.
* Company Name
* Name On Card
* Address
* City
* State/Province
* Postal Code
* Country
* Phone Number
* Email
* Credit Card
* Credit Card Number
* Expiration Date
* CSV Code

Click Here to Accept the Rental Terms & Conditions

YES - I have read and agree to the D.I. Roof Seamer Rental Terms & Conditions.

Upon submitting, you will be given the option to print or save a copy of the order.

If you do not receive an Order Confirmation within 24 hours,
please contact us at 1-888-343-0456.