Phone, Mail Or Fax To:
LA CONTAINER INC.
Yorba Linda, Ca 92887
Telephone: 714-694-0100
Facsimile: 714-694-0400
Order
Date 		 
Customer ID #  
Purchase Order #  
Resale Tax ID #  
PAYMENT TERMS
  C.O.D.(Add $ 7.00)
  Check Enclosed
  Visa/Mastercard/American Express

IMPORTANT:If placing order by credit card, please see 2nd sheet for details. Faxed or mailed CC orders will not be accepted without a signature.

CUSTOMER TYPE
  New Customer
  Existing Customer
  New Contact
  New Address
  New Phone #
DELIVERY METHOD
  UPS Next Day -
  UPS 2nd Day -
  UPS Ground -
  FedEx -
Other-please specify.

SOLD TO SHIP TO
Business Name Business Name
Address 1 Address 1
City/State/Zip Address 2
Contact Person City/State/Zip
Phone Fax Contact Person
E-mail Address Phone Fax

PN/Item # Qty. Item Description Color/Size
Price Each
Item Total
           
           
           
           
           
           
           
Total Order Amount $
California residents add applicable state sales tax $
Grand Total Of Order (appropriate shipping will be added depending upon method and weight of shipment) $








Terms And Conditions
PRICING POLICY PAYMENT TERMS RETURNS POLICY
» All prices listed on this site are for individual items. Package prices include all items listed in the package.
» All orders are F.O.B. Factory, Yorba Linda, Ca
» Prices are subject to change without notice.
» All bulk orders must be confirmed with our sales department in advance of order.
. 		» If faxing or mailing your order, please fill out Credit Card information block below and include it with your order. All mailed or faxed C/C orders will not be accepted unless this section of form is completed.
» All returned checks are subject to a $ 20.00 fee.
» Customer is responsible for all freight charges on refused and returned orders.
» Acceptable means of payment are Cash, Personal or Business Check, Money Order or similar instrument, Wire Transfer and Credit Card. 		» All damages must be reported to carrier within 24 hours of acceptance of package.
» No returns will be accepted at our factory without RMA # on package.
» All unaccepted/refused deliveries are subject to a 15% restocking fee and freight costs to/from consignee.
» All returned merchandise must be in saleable condition. Customer will be issued product credit only for used product returned to us.

Credit Card Information
Name On Card:  
Card Number:  
Expiration Date:  
Billing Address:  
VISA, MC / AMEX:  
   
   


Cardmember Signature: X______________________________________________________


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