CUSTOMER ADDRESS: SHIPPING ADDRESS:
COMPANY:_______________________________________________ COMPANY:____________________________________________
CONTACT NAME:________________E-MAIL:___________________ CONTACT NAME:_______________E-MAIL:__________________
STREET:_________________________________________________ STREET:______________________________________________
CITY:____________________________STATE_____ZIP:__________ CITY:________________________STATE:_____ZIP:__________
PHONE:________________________FAX:______________________ PHONE:_____________________FAX:______________________
| ITEM #: | DESCRIPTION: | QTY: | PRICE: |
| SUB-TOTAL: | |||
| Sales Tax (PA RESIDENTS ONLY) 6% | |||
| Shipping & Handling Step Ladders Please Contact Us 866-787-4274 | |||
| Shipping & Handling Material Chute Doors Please Contact Us 866-787-4274 | |||
| CREDIT CARD #: EXP: DATE: | TOTAL: |
Please make checks payable to: GLOBAL CUSTOM PRODUCTS, INC. 101 Sycamore Avenue Folsom, PA 19033
Phone: 1.866.787.4274 Fax: 610-534-9682
Call for volume shipping rates.
Full Payment of Total Amount must accompany your order form. Orders being shipped outside the continental USA please read our Shipping Policy.
Tuesday, January 09, 2007
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