Toll Free: (888) 499-1270
Fax Order to: (714) 771-2456
Email: kenf@wesign.com
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Distributor Order Form.pdf
I have an existing account
I'm creating a new account
BILLING INFORMATION
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Company:
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Contact:
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Address:
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(888) 888-8888
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Fax:
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(888) 888-8888
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SHIPPING INFORMATION
Ship to billing address
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1 UPS Account #:
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(888) 888-8888
Instructions:
Use
Wrinkles
Out
UPS or freight services - go ahead and complete the order form and we will contact you with the additional freight charges based on your quantity and location.
TERMS
I will use my Credit Card to Pay through www.PayPal.com
Please Bill my account
I would like to set up an account (we will contact you for the information needed).
Gallons
Quantity
Code
Price
Qty
1-4 Cases
GC05101
42.00 ea.
5-9 Cases
GC10101
32.50 ea.
10-14 Cases
GC15101
29.50 ea.
15-26 Cases
GC27101
27.00 ea.
36+ Cases
GC36101
24.50 ea.
Quarts
Quantity
Code
Price
Qty
1-4 Cases
QC05201
$52.00 ea.
5-9 Cases
QC10201
$42.50 ea.
10-14 Cases
QC15201
$36.50 ea.
15-26 Cases
QC27201
$34.50 ea.
36+ Cases
QC31201
$33.00 ea.
Trigger Sprays
Quantity
Code
Price
Qty
1-36
TS1501
$1.20 ea.
37-100
TS2501
$1.05 ea.
101+
TS4501
$0.90 ea.
55 Gallon Drum
Quantity
Code
Price
Qty
1 Drum
55 Gallon
D10201
$350.00 ea.
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