HAALA INDUSTRIES
1.507.794.5821

Order Form

Order products online using the form below. You may also print the form and mail it to:

Haala Industries
1201 Hwy. 4 South
P.O. Box 389
Sleepy Eye, MN. 56085


Items marked with * required:

*Date Ordered:
*Date Wanted:
Ordered By:
PO #:  
Company Name: *Phone Number:
Fax Number:    
*Choose one:    
Pick-up
Delivery
Shipping Address:      
*Billing Address:      
*Email Address:      
Qty.
Item / Description
Page #
Price ea.
Total
*Tax Exempt? Yes    
Total:
No
Tax Exempt #: