Thomas Aftermarket
Order Request


Shipping Address_______________________________________________________________

Day Time Phone Number__________________________________________

Pattern Number you want to order_________________

Pattern Description_______________________________

Amount Enclosed__________________________ (Don't forget to add shipping and handling)

How did you hear about us?___________________________________________________________

Send payments to:

Thomas Tool & Mold Co.
271 E. Broad St.
Westerville, OH 43081

Your order will be processed and shipped within 5 working days after payment is received.
*NOTE* personal checks must clear before your order will ship.

Thanks for your interest in our products....

Jim and Jamie Thomas