E.L. Harley, Inc. Order Form

The first and the best in the Flexographic Tape Industry. Often copied, but never matched!

E.L. Harley, Inc. - Parts and Accessories

Now you can order E.L. Harley genuine Cushion Tape on-line, 24-hours a day, 365 days a year.

Most orders placed will be shipped the same day, if the items are in stock. Orders received after 3:00 p.m. EST will be shipped the following day.

If you don't know which tape is best, please tell us the machine used so we can ensure you get the correct product. The Cushion type and item number are very important to help us determine what you are looking for.

How To Submit Ordering information

Complete "General Information" section below.
When completed, click the SUBMIT button at the bottom of the form.

Note: Both types of mounting tape are available per online order. If you would like to order additional parts and accessories, please fill out as many additional orders as you need.

Order Form

Please fill out the form below.

A. General Information

	* required fields
Name:*
Customer No.:
Company Name:*
Bill to Address:*
City:*
State:*	Zip:
Phone #:
Fax #:
E-mail Address:
P.O. #:
Ship to Address if different from above:
City:
State:	Zip:
Shipping Method:*	Standard Second Day (Additional Charge) Next Day (Additional Charge) Other
Please have a Customer Service Representative contact me.

B. Model, Machine Used, Description of Part, and Quantity
Please complete the following section.

Entry No. 1 Type A

Machine:
Description of Part:
Qty:

Entry No. 2 Type P

Machine:
Description of Part:
Qty:

Entry No. 3 Type A

Machine:
Description of Part:
Qty:

Entry No. 4 Type P

Machine:
Description of Part:
Qty:

Notes to E. L. Harley: If you have special requests or comments, please indicate them here.
Click submit below.