Masonry Magazine February 2012 Page. 15
RESTORATION
www.restorationdirect.com
IMPORTANT INFORMATION
Your Name
Title
Phone #
(Required)
Fax #
Payment by
CHECK
OR MONEY ORDER
CREDIT
CARD
MCAA
Associate Member
6301 Chelton Avenue, Harrisburg, PA 17112
Pennsylvania State
Association of Boroughs
Associate Member
Order Today... Call: 1-800-288-7800
Photocopy this order
Fax: 717-540-6871 or form for future use.
www.restorationdirect.com
SHIP TO:
Name
Address
City
State
Zip
Attention
Purchase Order No.
Phone #
Quantity Unit
Part #
Description
Unit Price
Total Price
TO CHARGE YOUR PURCHASE:
Check the appropriate box and complete.
Biling Street #
Card Billing Zip Code
Last 3 Digits on
Back of Card
Expiration Date
Merchandise Total
Shipping Charge
Subtotal
"Sales Tax
(6% PA only)
TOTAL
Card Holder's Name (Please Print)
Card Holder's Signature (Required)
IF THIS IS YOUR FIRST ORDER...
We offer great terms for your cash or credit card purchases. You win, we win!
Cobra and Cobra-air are trademarks of Restoration Direct. All other trademarks are the property of their respective owner. Copyright 2012 Restoration Direct ALL RIGHTS RESERVED
SHIPPING: *CHEMICALS (42 States) subject to change
up to $499 you pay actual shipping cost
$500 to $999 - you pay $65.00
$1,000 - $1500 you pay $35.00
Over $1,500 FREE SHIPPING
*No Residential Delivery (Find a friend with a loading dock)
*You must have forklift or dock with pallet jack. Lift Gate Trucks cost extra.
*Someone must be available to unload your order. Delays cost extra.
*PA Customers pay 6% Sales Tax unless exemption is on file.
Best Chemical Prices in the USA!
ORDER: 1-800-288-7800/www.restorationdirect.com