EmailMe Form - PHL E-Ordering Form

Account type *

Credit Customer

Cash Customer

Account no. *

Customer Information

Company name *

Company address *

Contact person *

Designation *

Department *

Email

Telephone/mobile no. *

Alternate telephone/mobile no.

* required if no email address is provided

Fax no.

Product information

Delivery date *

MM / DD / YYYY

Purchase order no.

(Please indicate the contact person if you do not have the PO No.)

Product 1

Product Description *

if others, please specify

With available empty cylinder? *

Order (quantity) *

Minimum of 4 cylinders per delivery

Empty cylinder to be returned (quantity) *

Unit of measurement *

Product 2

Product Description

if others, please specify *

With available empty cylinder? *

Order (quantity) *

Empty cylinder to be returned (quantity) *

Unit of measurement *

Product 3

Product Description

if others, please specify *

With available empty cylinder? *

Order (quantity) *

Empty cylinder to be returned (quantity) *

Unit of measurement *

Product 4

Product Description

if others, please specify *

With available empty cylinder? *

Order (quantity) *

Empty cylinder to be returned (quantity) *

Unit of measurement *

Product 5

Product Description

if others, please specify

With available empty cylinder? *

Order (quantity) *

Empty cylinderto be returned (quantity) *

Unit of measurement *

Product 6

Product Description

if others, please specify *

With available empty cylinder? *

Order (quantity) *

Empty cylinder to be returned (quantity) *

Unit of measurement *

Product 7

Product Description

if others, please specify *

With available empty cylinder? *

Order (quantity)

Empty cylinder to be returned (quantity)

Unit of Measurement

Product 8

Product description

if others, please specify *

With available empty cylinder? *

Order (quantity) *

Empty cylinder to be returned (quantity) *

Unit of measurement *

Remarks

I have read and understood the basic product and service offer of Linde Philippines. *

I accept the terms and conditions.

Note

Orders received within the following business hours will be acknowledged with a reply via email.

Order cut-off time is 4pm on Mondays to Fridays and 12noon on Saturdays

Toll-free Numbers:
1-800-10 (883-9000) PLDT
1-800-8 (883-9000) Globe

Hotline Numbers:
Luzon (02) 883-9000
Visays (032) 236-9000
Mindanao (082) 295-9000, (083) 825-9000, (085) 226-9000, (088) 565-9000

Fax: (02) 883-9001
Textline: (0999) 883-9000

Customer service hours:
8:00 am to 5:00 pm Monday to Friday,
8:00 am to 12:00 noon on Saturdays

Linde Philippines, Inc.
30/f Wynsum Corporate Plaza, F. Ortigas Jr. Avenue, Ortigas Center, Pasig City

Linde Philippines (South), Inc.
Kentredder Square, A.C. Cortes Avenue, Mandaue City, Cebu