| Extra Packaging, Corp. | ORDER FORM | ||
| 24 Seneca Ave | |||
| Rochester, NY 14621 | DATE:_____________________ | ||
| Phone 888.353.9732 Fax 585.544.2586 | |||
| info@todiefor.biz www.todiefor.biz | |||
| Bill To: | Ship To: (If different than billing) | ||
| Name: __________________________________ | Name:________________________________ | ||
| Company: _______________________________ | Company:_____________________________ | ||
| Address: ________________________________ | Address:_______________________________ | ||
| City, State ZIP: ___________________________ | City, State ZIP:_________________________________ | ||
| Phone: __________________________________ | Phone:_________________________________ | ||
| Fax: _____________________________________ | Fax:_____________________________________ | ||
| DESCRIPTION | QUANTITY | UNIT PRICE | AMOUNT |
| 1. 12" x 18" 10 mil CF MED DUTY STR ZIP (WHT) | |||
| 2. 22" x 30" 10 mil CF MED DUTY STR ZIP (WHT) | |||
| 3. 36" x 60" 10 mil CF MED DUTY STR ZIP (WHT) | |||
| 4. 36" x 96" 10 mil CF MED DUTY ENV ZIP (WHT) | |||
| 5. 36" x 96" 10 mil CF LT DUTY ENV ZIP (WHT) | |||
| 6. 36" x 96" 10 mil CF MED DUTY ENV ZIP (BLK) | |||
| 7. 36" x 96" 12 mil ENV ZIP CF POLY - 10 HAND WITH LINER (GRY) | |||
| 8. 36" x 96" 7 mil ENV HD VINYL-10 HAND WITH LINER (BLK) | |||
| 9. 38" x 96" MESH WATER RECOVERY BAG (WHT/ORG) | |||
| All pricing subject to change. | SUBTOTAL | ||
| Quantity discounts are available on mixed items. | TAX RATE | ||
| Please include applicable Sales Tax. | SALES TAX | ||
| All orders shipped by UPS Ground. | Shipping | ||
| Call for expedited delivery. | TOTAL | ||
| Pallet Loads, FOB Eagle Pass, TX. | Cases, FOB Jacksonville, FL. | ||
