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
|
|
|
#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
|
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:____________ Code
#__________
Name
on card: _____________________________________________________________________
PAY
BY INVOICE
PURCHASE
ORDER # ________________________________________
|
Your
phone # ______________________________ Your fax # _________________________________
SHIP
TO: BILL
TO:
BACK Canadian
purchases please call Allan 514-683-7191 (Quebec)
|