Order Inquiry Form

Please use this form to advise us of any problems with an order.  We give these inputs the first priority.  

Please note that a $7.00 restocking fee will be assessed for all returns (unless due to our error). 

Please also note that we do not process exchanges.

Full Name   *
Organization/Company
Phone   *
Type of Order   

Shopping Cart      Fax       Phone         Mail     *

 
Date Order was Placed *
Order No. from packing slip
Order No. from email confirmation 
Method of Payment    Credit Card  Check/Money Order *
E-mail *
Shipping  Address   *
Address (cont.)
City   *
State/Province   *
Zip Code   *
Country (if not USA)

 

Part No.

Problem (such as incorrect qty, wrong item)
Desired Resolution

Copyright © 2000 [Helwig Industries, LLC]. All rights reserved.
Revised: May 27, 2004