DRIP-NET Order Form  (You can use your own purchase order form)
    
Please fill in quantities needed, shipping choice, payment method, phone & fax number, and Ship To Address.
               
(Purchase Order number, if any and Bill To address needed for Invoice Orders only)
                                           
We accept corporate and Govt. credit cards.
.
                                    
 PRINT this form, fill in, and fax to (732) 469-7956.
                         or call us at 1-732-560-9223 to place your order by phone.

                    
UNCONDITIONAL 60 DAY MONEY BACK GUARANTEE
                         

Quantity

 Item

Description

Price

 

  #B5

4 Ft. x 5 Ft. Tarp with 17 Ft. tubing.

$ 63.00

 

  #C8

4.5 Ft. x 8 Ft. Tarp with 17 Ft. tubing.

$ 77.00

                 Ground orders shipped within 24 hours.                 Overnight orders shipped same day.
Shipping:      
UPS Ground           UPS 2nd Day Air           UPS Overnight
 

PAY BY CREDIT CARD, INVOICE, PREPAID CHECK.
We accept Corporate and Govt. credit cards 
CREDIT CARD:  
VISA        M/C        AMEX     (Check one box)

Card No______________________________________________


Name on card___________________________________________     Expiration Date_____/________  
 

INVOICE     Send Invoice          Purchase Order No._________________________________

PREPAID CHECK   Add total $9.00 shipping to prepaid check. (NJ purchasers add 7% sales tax)


Your phone #
__________________________       Your fax #____________________________________

Ship To:                                                                                   Bill To:
_________________________________________              ____________________________________________
_________________________________________              ____________________________________________ _________________________________________              ____________________________________________ _________________________________________              ____________________________________________
 Attn:____________________________________


Canadian purchases please call Allan 514-683-7191 (Quebec)

 Croton Products                 1308 Centennial Ave. #237                    Piscataway, New Jersey 08854

  zigzag_back.gif BACK            Contact person: David Jablonski      Phone: 732-560-9223      Fax: 732-469-7956