COMPLETE THIS FORM & FAX TO:  813-901-8457
Coil-Binding.net
Call Toll Free:  1-877-264-5246

Email: sales@coil-binding.net

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SHIPPING INFORMATION:    (we cannot ship to a P.O. Box)

Your Name (first & last)  
Company Name  
Shipping Address  
City-State-Zip      
Telephone (with area code)  
Fax (with area code)  
E-mail Address  

NOTE: DO NOT SEND PAYMENT WITH THIS FORM - UPS shipping charges are based on weight & shipping address. We will contact you with the total amount due when we receive your order. STANDARD COLORS will be shipped within 24 hours of receiving payment. CUSTOM COLORS may take up to 3 days before shipping. We can ship custom colors within 24 hours for an additional $25.00 handling charge.

Please circle your selection below coil size 12"
R
36"
R
color number color name quantity
1 = 100
price
per 100

3-1 pitch

.312 pitch 4-1 pitch .400 pitch 5mm pitch              

3-1 pitch

.312 pitch 4-1 pitch .400 pitch 5mm pitch              

3-1 pitch

.312 pitch 4-1 pitch .400 pitch 5mm pitch              

3-1 pitch

.312 pitch 4-1 pitch .400 pitch 5mm pitch              

3-1 pitch

.312 pitch 4-1 pitch .400 pitch 5mm pitch