TAPE-EASE
QUICK FAX, SECURE, QUOTE / ORDER FORM
620 Green Bay Rd., WI 54208 920-863-3571 or 1-888-443-3461 fax: 1-920-863-3570
(8:00am
to 5:00pm central time.) e-mail: info@tapeease.com
PRINT FORM, THEN CLICK BACK TO RETURN. FILL OUT FORM, THEN SUBMIT. CAN ALSO COPY FORM,
TYPE IN INFO, THEN E-MAIL AS ATTACHMENT
| Contact Name: | e-mail: | |
| Company Name: | Phone #: | |
| Billing Address: | Fax #: | |
| Shipping Address: | P.O./ Job #: | |
| City/State/Zip: | Notes:
|
|
| Order Date: | Quote Date: | |
| QUANTITY: | ITEM & SIZE: Include all product information please | PRICE EACH: | TOTAL: |
|
$8.00 charge for 1st time orders less than $50.00. |
|||
| NOTES: | TOTAL: | ||
PAYMENT INFO:
Circle one: Visa
MstrCd. AmExp.
Disc. Prepayment Credit (Upon Approval)
| CREDIT CARD NUMBER: | ||||||
| EXPIRATION DATE: | NAME ON CARD: | |||||
QUESTIONS: