Print – Fill Out – Scan & Email to cs@containerslik.com
Customer Name:_____________________________________________
Address:____________________________________________________
City:_________________________________State:__________________
Zip:_________________
Phone:________________________
Size Of Slik (TG,#2,#3,True): _______
Qty (In Cases):________________
Total (Use Volume Case Prices): ______________________
Freight: ______________________
Grand Total: __________________
Payment Method
Company Check: Order will be processed when we receive payment.
Credit Card (Visa, Mastercard): _________________________________________
Card No.:___________________________________________________________
Expiration Date:_______________________ Security Code: __________________
Name On Card:______________________________________________________
ALL ORDERS ARE FOB DALE, INDIANA.
OFFICE USE ONLY
Customer No.:______________________________________________________
Authorization:______________________________________________________
Order Date:______________________ / Ship Date:_______________________
