(Impact Manufacturing) Plate Anchor Order Form
Company
*
Contractor
Job Name
Anchor Plate Image Breakdown (Click to Expand)
Full Kits with Wall Plates (Click to Expand)
12' Large X Plate Anchor Kit
Local Pick Up
12' Medium Plate Anchor Kit
Local Pick Up
12' Small Plate Anchor Kit
Local Pick Up
14' Large X Plate Anchor Kit
Shippable
14' Medium Plate Anchor Kit
Shippable
14' Small Plate Anchor Kit
Shippable
Full Kits with C-Channel Wall Plates (Click to Expand)
12' Large X Plate Kit w/ C-Chan
Local Pick Up
12' Medium Plate Kit w/ C-Chan
Local Pick Up
12' Small Plate Kit w/ C-Chan
Local Pick Up
14' Large X Plate Kit w/ C-Chan
Shippable
14' Medium Plate Kit w/ C-Chan
Shippable
14' Small Plate Kit w/ C-Chan
Shippable
Individual Parts (Click to Expand)
Wall Plate 12” x 28”
Shippable
C-Channel Wall Plate
Shippable
4” x 6” x 1/4” Washer
Shippable
Small Soil Plate
Shippable
Medium Soil Plate
Shippable
Large Soil Plate
Shippable
3/4” x 7’ Galv. All Thread
Shippable
3/4” x 12’ Galv. All Thread
Local Pick Up
3/4” Galv. Coupling Nut
Shippable
3/4” Zink Hex Nut
Shippable
5 Deg. Wedge Washer
Shippable
Tools and Accessories (Click to Expand)
3/4” Anchor Rod Point
Shippable
SDS Max Driving Tip
Shippable
Order Information
Purchase Order#
Notes or Instructions
Signature
*
Place Order
Print Form
Should be Empty: