Order

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:______________

Name On Card:_________________________

ALL ORDERS ARE FOB DALE, INDIANA.

OFFICE USE ONLY

Customer No.:_________________

Authorization:________________

Order Date:___________________

Ship Date:____________________