Purchase Form- Grace Technologies now Controlled Fluids</ITLE>  <META http-equiv="Content-Language" content="en-us"> <META http-equiv="Content-Type" content="text/html; charset=us-ascii"> <META name="Description" content="Stocking Distributor of Air Valves, Pneumatics, Tubing, Parker Fittings, Schrader Bellows, Air Compressors, Air Cylinders, Telepneumatic, Shock Absorbers, Air Preparation"> <META name="Keywords" content="parker air cylinders, parker air valves, schrader air valves, schrader bellows, bellows valvair, festo electronics">  <SCRIPT language="JavaScript" src="functions.js"></SCRIPT> <LINK rel="stylesheet" type="text/css" href="gracetech.css"> </HEAD> <BODY> <A name="#top"></A> <TABLE border="0" cellpadding="0" cellspacing="0" width="100%" background="images/headerbg_parker_air_cylinders.jpg"> <TR valign="top"> <TD colspan="2" align="center"><h1 class="special">Stocking Distributor of Parker air cylinders, Parker air valves, Schrader air valves, Schrader Bellows, Bellows valvair, and Festo Valves</h1></TD> </TR> <TR valign="top"> <TD width="400"> <OBJECT classid="clsid:D27CDB6E-AE6D-11cf-96B8-444553540000" codebase="http://active.macromedia.com/flash4/cabs/swflash.cab#version=4,0,0,0" width="400" height="100"> <PARAM name="movie" value="images/graceheader_parker_schrader_bellows.swf"> <PARAM name="quality" value="high"> <PARAM name="wmode" value="transparent"> <EMBED src="images/graceheader_parker_schrader_bellows.swf" quality="high" wmode="transparent" width="400" height="100" type="application/x-shockwave-flash" pluginspage="http://www.macromedia.com/shockwave/download/index.cgi?P1_Prod_Version=ShockwaveFlash"></EMBED> </OBJECT> </TD> <TD align="center" valign="middle"> <IMG border="1" src="images/parker_air_cylinders_AnythingPossible.jpg" width="200" height="60" alt="Parker Air Cylinders" title="Parker Air Cylinders"> </TD> </TR> <TR valign="middle"> <TD colspan="2" background="images/silverbar.jpg" width="100%" height="25" align="center" class="silverbartext" style="padding-left: 10px; padding-right: 10px;"> <B> <A class="silverbarlink" href="index.htm" title="Distributors for Parker Air Cylinders">Home</A> - <A class="silverbarlink" href="about_stocking_distributor.html" title="Distributors for Parker Air Valves">About Us</A> - <A class="silverbarlink" href="contact.html" title="Contact about out Schrader Air Valves">Contact Us</A> - <A class="silverbarlink" href="sitemap_bellows_valvair.html" title="SiteMap, Schrader Bellows">Site Map</A> - <A class="silverbarlink" href="referfriend.html" title="Refer a Friend about Bellows Valvair">Refer A Friend</A> </B> </TD> </TR> </TABLE> <TABLE border="0" cellpadding="0" cellspacing="0" width="100%" height="100%"> <TR> <TD colspan="2" bgcolor="#000000" height="20" class="blackbartext" align="center" style="padding-left: 10px; padding-right: 10px;"> <A class="blackbarlink" href="customer_service.html" title="Our Customer Service, Parker Schrader Bellows">Customer Service</A> - <A class="blackbarlink" href="industry_links.html" title="Links, including Festo Electronics">Industry Links</A> - <A class="blackbarlink" href="www.controlledfluids.com/cndbz.cfm?subject=[GraceTechnologies.com] Request Quote" title="Email for quote, including Bellows Valvair">Request Quote</A> - <A class="blackbarlink" href="purchase_form.html" title="Schrader Bellows & more Purchase Form">Purchase Form</A> - <A class="blackbarlink" href="faqs.html" title="FAQ on Schrader Bellows, Bellows Valvair, Festo Electronics">FAQs</A> </TD> </TR> <TR valign="top"> <TD width="140" background="images/leftnavbg_schrader_bellows.jpg" style="background-repeat: repeat-x; border-right: 2px solid black; padding: 5px;"> <IMG src="images/spacer.gif" width="140" height="1"><BR> <a class="navmenu navdeep0" href="air_dryers_parker_finite.html">Air Dryers</a> <a class="navmenu navdeep0" href="compressors_champion_panther.html">Compressors</a> <a class="navmenu navdeep0" href="parker_couplers_schrader_bellows.html">Couplers</a> <a class="navmenu navdeep0" href="parker_air_cylinders.html">Cylinders</a> <a class="navmenu navdeep0" href="filters_regulators_lubricators_parker_schrader_bellows.html">Filters, Regulators, Lubricators</a> <a class="navmenu navdeep0" href="fittings_parker_schrader_bellows.html">Fittings</a> <a class="navmenu navdeep0" href="fluid_power_accessories_schrader_bellows.html">Fluid Power Accessories</a> <a class="navmenu navdeep0" href="leaktesting_fastest_connectors.html">Leak Testing</a> <a class="navmenu navdeep0" href="shock_absorber_parker_schrader_bellows.html">Shock Absorbers</a> <a class="navmenu navdeep0" href="tubing_festo_electronics.html">Tubing</a> <a class="navmenu navdeep0" href="vacuum_festo_electronics_schrader_bellows.html">Vacuum</a> <a class="navmenu navdeep0" href="valves_and_parker_air_valves.html">Valves</a> </TD> <TD> <TABLE border="0" cellpadding="0" cellspacing="0" width="100%"> <TR> <TD colspan="2" valign="middle" height="25" background="images/bluebar.jpg" style="padding-left: 10px;"> <H1 class="pageheader">On-line Purchase Order Form </H1> </TD> </TR> <TR> <TD colspan="2" valign="top" align="center"> <A href="javascript:bookmark_site();"><IMG src="images/bookmarkme_parker_air_cylinders.jpg" border="0" align="right" alt="Add to Favorites" title="Add to Favorites" width="45" height="45"></A> <B style="font-size: 10px;">16613 W. Hardy Rd * Houston, Texas 77060 * E-Mail: <A href="www.controlledfluids.com/cndbz.cfm" title="Email about Schrader Bellows, Bellows Valvair, Festo Electronics">sales@gracetechnologies.com</A></B> <br><br> <B style="font-size: 14px;">Local: 281.873.8633 * Toll Free: 800.873.4247 * Fax: 281.873.9329</B> </TD> </TR> <TR valign="top"> <TD width="90%" style="padding: 10px;">  <P>Please complete the following form and click 'Submit' to send your Purchase Order on-line. <B>Fields with <FONT color="#FF0000">*</FONT> are required.</B> You will receive a confirmation, via email from a Grace Technologies, Inc. now Controlled Fluids, Inc. representative.</P> <form method="post" action="purchase_form.html"> <input type="hidden" name="purchase_subject" value="[Grace Technologies] Online Purchase Form"> <TABLE width="100%" border="0" cellpadding="0" cellspacing="3"> <TR> <TD colspan="4" width="100%" valign="top"><B>Purchase Order Date: </B> <input type="text" name="Purchase_Order_Date" value="" size="20"></TD> </TR> <TR valign="top"> <TD colspan="2" width="50%"><B><FONT color="#FF0000">*</FONT>Bill To:<BR> </B><textarea name="req__Bill_To" rows="5" cols="30"></textarea></TD> <TD colspan="2" width="50%"><B>Ship To (If different from Bill To):</B><BR><textarea name="Ship_To" rows="5" cols="30"></textarea></TD> </TR> <TR valign="top"> <TD width="25%"><B>PO Number:</B><BR><input type="text" name="PO_Number" value="" size="20"></TD> <TD width="25%"><B><FONT color="#FF0000">*</FONT>Phone Number:</B><BR><input type="text" name="req__Phone_Number" value="" size="20"></TD> <TD width="25%"><B>Email address:</B><BR><input type="text" name="email__Email" value="" size="20"></TD> <TD width="25%"><B>Sales Rep.:</B><BR><input type="text" name="Sales_Rep" value="" size="20"></TD> </TR> <TR> <TD colspan="4" width="100%" valign="top"><textarea name="Order" rows="10" cols="65">Quantity: Part#: Description: Date Required: Unit Price:</textarea></TD> </TR> <TR> <TD colspan="2" width="50%"><B>Authorized buyer: </B><input type="text" name="Authorized_Buyer" value="" size="20"></TD> <TD width="25%"> <P align="center"><input type="submit" name="submitorder" value="Submit"></TD> <TD width="25%"> <P align="center"><input type="Reset" value="Reset"></TD> </TR> </TABLE> </form>  </TD> <TD width="10%" align="right" style="padding: 10px;"> <TABLE border="0" cellpadding="0" cellspacing="0" width="150" background="images/boxmiddle.jpg"> <TR> <TD width="150" height="3"> <IMG src="images/boxtop.jpg" width="150" height="3" border="0"></TD> </TR> <TR> <TD width="150" style="padding: 3px;" class="smalltext" align="center"> <FORM name="search_box" method="get" action="/search/" style="margin: 0px;"> <input type='hidden' name='site' value='0'> <input type='hidden' name='path' value=''> <input type='hidden' name='result_page' value='index.html'> <INPUT class="smalltext" type="text" name="query_string" value=""><BR> <INPUT class="smalltext" type="submit" name="searchsite" value="search"> </FORM></TD> </TR> <TR> <TD width="150" height="3"> <IMG src="images/boxbottom.jpg" width="150" height="3" border="0"></TD> </TR> </TABLE><BR> <TABLE border="0" cellpadding="0" cellspacing="0" width="150" background="images/boxmiddle.jpg"> <TR> <TD width="150" height="3"> <IMG src="images/boxtop.jpg" width="150" height="3" border="0"></TD> </TR> <TR> <TD width="150" style="padding: 3px;" class="smalltext" align="center"> <A class="silverbarlink" href="mailinglist.html" title="Register With Us">Register With Us</A> </TD> </TR> <TR> <TD width="150" height="3"> <IMG src="images/boxbottom.jpg" width="150" height="3" border="0"></TD> </TR> </TABLE><BR> <TABLE border="0" cellpadding="0" cellspacing="0" width="150" background="images/boxmiddle.jpg"> <TR> <TD width="150" height="3"> <IMG src="images/boxtop.jpg" width="150" height="3" border="0"></TD> </TR> <TR> <TD width="150" style="padding: 3px;" class="smalltext" align="center"> <A class="silverbarlink" href="manufacturers_parker_schrader_bellows.html" title="Parker, Schrader Bellows, Bellows Valvair, Festo Electronics">Request Manufacturer's Catalog</A></TD> </TR> <TR> <TD width="150" height="3"> <IMG src="images/boxbottom.jpg" width="150" height="3" border="0"></TD> </TR> </TABLE><BR> <TABLE border="0" cellpadding="0" cellspacing="0" width="150" background="images/boxmiddle.jpg"> <TR> <TD width="150" height="3"> <IMG src="images/boxtop.jpg" width="150" height="3" border="0"></TD> </TR> <TR> <TD width="150" style="padding: 3px;" align="center"> <P class="smalltext"><B>We Accept the Following:</B><BR> <IMG src="images/ccards_parker_air_valves.gif" border="0" width="100" height="63" alt="Parker Air Valves" title="Parker Air Valves"></P> </TD> </TR> <TR> <TD width="150" height="3"> <IMG src="images/boxbottom.jpg" width="150" height="3" border="0"></TD> </TR> </TABLE> </TD> </TR> <TR valign="top"> <TD colspan="2"> <P class="smalltext" align="center"> July 28, 2010<BR> Copyrighted ©2004-2010 Controlled fluids, Inc.<BR> Designed by <A href="http://www.allstarsb2b.com">ALLSTARS B2B Marketing</A> in partnership with <A href="http://www.website-hosting-houston-small-business-design-develop.com">Businelle Company Technologies</A> </P> <h1 class="special nomargin"> Thank you for visiting Grace Technologies now Controlled Fluids. We are reliable distributors of Parker products like the Parker air cylinders and Parker air valves. We also specialize in Schrader Bellows and Festo products such as the Schrader air valves, Bellows Valvair, and Festo Electronics.</h1> <P align="right" class="xsmalltext nomargin">Count: <a style="text-decoration: none;" href="hitcounter/index.php" target="_blank">000001</a></P> </TD> </TR> </TABLE> </TD> </TR> </TABLE> </BODY>  </HTML>