Pipe and Equipment Order Form

Oil Company *

First Name *

Last Name *

Phone *

Email *

First Name

Last Name

Phone

Delivery Truck 1

Delivery Truck 2

Delivery Truck 3

Rig Name and Number*

AFE *

Well Name

UWI

Pipe Supplier

Surface Location *

Directions to Location *

Add casing, tubing and rod details below. You may add multiple items by clicking the add button below.

Quantity - Meters

Quantity - Joints

Size

Weight

Grade

Coupling

Range

Condition

Modified

Added Description

Equipment Supplier(s)

Release #

Add equipment details below. You may add multiple items by clicking the add button below.

Size

Item #1

Item #2

Item #3

Item #4

Item #5

Item #6

Special Instructions