Committed to excellence, innovation and integrity in order to fulfill all of your air filter needs.

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Order Form

Click Here to Open and Print the Order Form.
After you have completed the order form, please fax or mail it to the address or number below:
47 J. Faris Drive, Andalusia, AL 36421 � Toll Free 800-239-9495 � Fax 800-239-9798

Custom Size Instructions (click here)

Online Order Form

Bill to company/person name
Street address / PO box
City
State
Zip
Phone
Fax
Bill to PO

SHIPPING INFORMATION
Ship to name
Street Address
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Zip
Phone
Fax
Bill to PO

FILTER CHANGE NOTIFICATION
Please remind me to change / clean my filter every days

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FILTER SELECTION INFORMATION
Filter 1	Part number:
	Size (HxWxD)
	Nominal
	Description
	Price	$
	Quantity
	Total	$

Filter 2	Part number:
	Size (HxWxD)
	Nominal
	Description
	Price	$
	Quantity
	Total	$

Filter 3	Part number:
	Size (HxWxD)
	Nominal
	Description
	Price	$
	Quantity
	Total	$

Filter 4	Part number:
	Size (HxWxD)
	Nominal
	Description
	Price	$
	Quantity
	Total	$


Filter 5	Part number:
	Size (HxWxD)
	Nominal
	Description
	Price	$
	Quantity
	Total	$

Other Product 1	Part number:
	Description
	Price	$
	Quantity
	Total	$

Other Product 2	Part number:
	Description
	Price	$
	Quantity
	Total	$

Other Product 3	Part number:
	Description
	Price	$
	Quantity
	Total	$

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