Placing an Order
To place an order, please print out this form, fill in all information, and fax it to (718) 738-7837. We will reply quickly with pricing information for your approval.
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Bill To: P.O.#
Company:
Address:
City:
State:
Province:
Zip Code:
Phone:
Fax:
Email:
Print Name:
Signature:
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Ship To: P.O.#
Company:
Address:
City:
State:
Province:
Zip Code:
Phone:
Fax:
Email:
Print Name:
Signature:
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Description
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Model #
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Option A,B,C
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Quantity
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4 Foot Apparel Rack
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004
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5 Foot Apparel Rack
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005
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6 Foot Apparel Rack
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006
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Casters No brakes
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12 - 12A
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Casters with brakes
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20 - 20A
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JR International Corp.
103-11 100th Street
Ozone Park, NY 11417
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