If you prefer to download a PDF document to fill and send, click here.
Small Order Policy
Jefferson Electric has instituted a Small Order Policy. Due to the expense of time and resources in processing, orders under $100 must be paid by Credit Card. There will be a $25.00 charge for processing.
Please use the form on this page, or download our fillable PDF to complete and email back to us.
All orders must be freight prepaid. We will use your UPS account for ground delivery service. In cases where the item is located at a warehouse near you, we can have your item ready for pickup within 3 working days.