OnLine Order Application

If you have a current account set up with Mid-America fill the Request Form for Internet Order Entry , please include account name, account #, contact name, day phone with area code, and E-mail. Click on the submit button when completed. Please allow 1 full business day for response back from Kim Parsons at Mid-America Wholesale; please call 580-237-1040 for assistance if you have any questions.

To contact us:

Phone: 580-237-1040

Fax: 580-242-3805

Email: midamerica@mid-america-online.com

3101 South Van Buren

Enid, Oklahoma  73701

Phone: 580.237.1040

Fax: 580.242.3805

Internet Order Entry Request Form

If you don’t have the data requested at hand insert a dash & continue.

Email:

Contact Name:

Account Name:

Account Number:

Phone Number:

 

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