| 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 |
| Quantity discounts are available on mixed items. | SUBTOTAL | ||
| NY Residents must add applicable Sales Taxes. | SALES TAX | ||
| All orders shipped by UPS Ground. | Shipping | ||
| Call for expedited delivery. | TOTAL | ||
| All pricing subject to change. | |||