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 and Bill To address needed for Invoice Orders )

               Croton Products          514 Wellington St.        Middlesex, New Jersey 08846-2063
                Contact person: David Jablonski      Phone: 732-560-9223      Fax: 732-469-7956

Print this form and fax to us or place your order by phone.
                         
UNCONDITIONAL 60 DAY MONEY BACK GUARANTEE
                         

Quantity

 Item #

Description

Price

 

  #A2

 2 Ft. x 4 Ft. tarp with 17 Ft. tubing.

$44.00

 

  #A4

 4 Ft. x 4 Ft. Two-way tarp with 25 Ft. tubing.

$68.00

 

 #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

 

Quantity

 Item #

  Combo Packages

Price

 

  #A42

 A4 Tarp and A2 Tarp with 2 tubing sets.

$90.00

 

 #B52

B5 Tarp and A2 Tarp with 2 tubing sets.

$85.00

 

 #C82

C8 Tarp and A2 Tarp with 2 tubing sets.

$99.00

 Most ground orders shipped within 24 hours. 2nd Day and Overnight orders - Call us for confirmation
.
             Shipping:      
UPS Ground           UPS 2nd Day Air           UPS Overnight
 

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

  Card No:_________________________________    Expiration Date:__________________

  Name on card: _____________________________________________________________________
 
 
PAY BY INVOICE    PURCHASE ORDER # ________________________________________

  Your phone # ______________________________  Your fax # _________________________________

  
SHIP TO:                                                                                  BILL TO:
            
                                          

 

 

 



  
zigzag_back.gif BACK            Canadian purchases please call Allan 514-683-7191 (Quebec)