Order form Customer Information Company Name Contact Name (*) Contact Email (*) Contact Phone (*) Accounts Payable Email Shipping Address Shipping Address Your Preferred Shipper (FedEx, DHL, etc) Account # (If no account provided, we will ship to anywhere in U.S. & charge standard shipping rates) Billing Address Billing Address same as Shipping Address? Yes Product Name / Quantity (# boxes) (all products – 25 units per box) T-RING box TRING FLEX box T-STRIP box TLCTM box Method of Payment Credit cardInvoice Me (Terms Net 30) Phone number to call for Credit Card info Same as above? Yes Additional Questions / Comments Pricing or other Questions? Contact: [email protected]
