WHOLESALE ORDER FORM
Customer Service is standing by for assistance (800) 634-3702 ~ M-F 8-5PM EST
YOUR DEALER/DISTRIBUTOR NAME
We treat you like Family. You will never be an account number. If you are not an established account, please contact us as your order will remain on hold.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
SHIPPING Address *only required if different than billing address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Purchase Order Number
*Not Required
Sidemark
*Not Required
Sales Agent - if applicable
*Not Required
Shipping/Freight
Please Select
Collect - Customer pays shipper
Prepaid - We pay shipper & bill customer
Customer Pick Up
Please Select Freight Payment Method: Collect, Prepaid or CPU
Preferred Shipper
Southeastern Freight Lines
Xpress Global XGSi
Averitt Express
WSL
United Freight Lines
Braun's Express
Other
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To order a Cut, Multiple Cuts, one Roll, or Multiple Rolls: Type in the following format: Enter Quantity, Product Style Name, Color, Width, Length & Backing Type
Enter as many rolls and/or cuts as needed. Refer to your price sheet on specifics such as Cut Order Services & backing types. For Rolls, Avg size is 100-125'.
Any Special Requests, Comments or Questions
Please enter additional comments, questions, remarks here
Name of person placing order
First Name
Last Name
Email
example@example.com **You will receive an email confirmation.**
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: