Product Order Form
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1Fastpack Packaging Inc.
226 SE Lee School Ave
Suite 36
Lee, FL 32059
Phone: 866-971-7201
Fax: 413-460-8062
BILLING INFORMATION
SHIPPING INFORMATION
EMAIL
Check here if same as billing information
FULL NAME
FULL NAME
ADDRESS
ADDRESS
CITY
CITY
STATE
ZIP
STATE
ZIP
COUNTRY
COUNTRY
DAY PHONE
DAY PHONE
OTHER
PAYMENT INFORMATION
Visa
Master
American Express
Discover
Check via Mail
CARD HOLDER'S NAME (exact name on Credit Card)
CARD BILLING ADDRESS (if different than billing information)
CITY
STATE
ZIP
CARD NUMBER
EXPIRATION DATE
/
SECURITY CODE (on Back of Card)
CUSTOMER SIGNATURE
PRODUCT INFORMATION
If you have been quoted, please enter Quote#
QTY
ITEM NAME
ITEM #
PRICE
SHIPPING
TOTAL
1
$0.00
2
$0.00
3
$0.00
4
$0.00
5
$0.00
6
$0.00
7
$0.00
8
$0.00
PRODUCT SUB TOTAL
$0.00
SHIPPING SUB TOTAL
$0.00
FL Addresses add 7.5% Sales Tax or submit Florida Resale Certificate (sales tax on product only, not shipping)
$0.00
TOTAL
$0.00
Click the Email button or Fax orders to 413-460-8062
Print Form
Email
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Parent category: Business