Order Form – Duff Co. | Phila. Plumbing & Heating Supply | Pumps

Duff Company Parts Order Form

Company Name*
Contact Name
First Last
Email Address
Ship to Address
(*specify location if multi-location account)
Purchase Order No
Required Date
MM slash DD slash YYYY
Add Products
Fill in your product information in the fields below and click the symbol to the right. You may add up to 20 products.
Quantity Part No. Description
File Upload
Drop files here or

Max. file size: 10 MB.
Anything else we should know about your order?
- Check this box if you would like our office to send an itemized order acknowledgement to the email address you have entered above.
To use our traditional printed order form, click here.
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Quantity	Part No.	Description