Paygro Order Form

Name*

First NameLast Name

Email*

example@example.com

Company Name*

Company Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Area CodePhone Number

Date

Requested Delivery Date

Truck Type Required*

FlatbedVanVan + Pallet JackCustomer Pickup

Do you have the following equipment at your location? Please check all that apply.

Fork LiftPallet JackDock

Promo

Purchase Order Number

* Orders requiring delivery must be 18-20 pallets *

Mulches

	Pallet(s) Ordered
1.5 CF - Nature's Perfect® Mulch
2.0 CF - Hardwood Mulch
2.0 CF - Pine Bark Nuggets
2.0 CF - Pine Bark Mini Nuggets
2.0 CF - Pine Bark Mulch
2.0 CF - Cypress Mulch Blend
2.0 CF - Red Dyed Mulch
2.0 CF - Black Dyed Mulch
2.0 CF - Brown Dyed Mulch
2.0 CF Kids Karpet® Playground Surfacing

Soil, Manure, and Soil Conditioners

	Pallet(s) Ordered
1.5 CF - Organic Valley® Premium Potting Mix
1.5 CF - Organic Valley® Premium Garden Soil
1.0 CF - Organic Valley® Premium Compost
1.0 CF - Organic Valley® Premium Topsoil
1.5 CF - Nature's Helper® Soil Conditioner
1.5 CF - Organic Valley® Premium Raised Bed
25 LB - Moo-Nure®
1 CF - Topsoil
1 CF - Potting Soil
40 LB - Compost with Manure
40 LB - Dehydrated Cow Manure
1 CF - Mushroom Compost
40 LB - Humus

Hardscapes

	Pallet(s) Ordered
1 CF - Red Lava Rock
.4 CF - Garick White Marble
.5 CF - Garick River Cobble
.5 CF - Garick Paver Base
.5 CF - Garick Mountain Blend
.5 CF - Garick Western Sunset
.5 CF - Garick River Pebble
.5 CF Garick River Rock
.5 CF - Garick Leveling Sand
.5 CF - Garick Pea Gravel (Pea Pebble)
.5 CF - Garick Multi Purpose Gravel
.5 CF - Premium Play Sand
.5 CF - Garick Play Sand

If overweight, remove the following products:*

Freight: PREPAID FULL TRUCKLOAD (18-20) PALLETS

Half Load: $75.00 per Stop Charge for Half Truckloads

Fuel: Fuel Surcharge will apply to each truckload ordered

Additional Notes: