Parts Order Form

Now for your convenience you may order parts on-line and have them ready for pickup when you arrive at Keith's.

Note: (NON ACCOUNT CUSTOMERS)  In order to use this form you must fill out all required information.  All special orders will be charged to a credit card before we will order it. All special orders (Non Stock Items) are subject up to to a 50% restocking fee.  No returns on electrical items.

QTY PART NUMBER DESCRIPTION

Select the items that apply, and then let us know how to contact you.

Send parts C.O.D.
Send on account 
Have a Credit Card - Call with price

Name
Title
Company
Address
E-mail
Phone