A1 Log Homes, Wood Decks, Preservatives, Stains, Sealers


ORGANICLEAR™ ORDER FORM

To send us your order:

1. Fill out the order form on your computer.
2. Calculate the cost of your order.
3. Decide upon your method of payment.
4. Print the completed form on your printer.
5. Sign the completed form.
6. Mail or fax* your order to us.

STANDARD TAR PRODUCTS COMPANY
2456 West Cornell Street
Milwaukee, WI 53209 - 6294

Toll Free: 1-800-825-7650
Fax: 1-414-873-7737

Email: standtar @ aol.com

*Please include purchase order # or credit card information for faxed orders.

DATE:

PURCHASE ORDER #: (If Available)
SOLD TO SHIP TO (IF DIFFERENT THAN SOLD TO)

NAME:

TITLE:

ADDRESS:

CITY:

STATE:

ZIP CODE:

COUNTRY:

TELEPHONE: (Include Area Code)

FAX: (Include Area Code)

E-MAIL: (Optional)

NAME:

TITLE:

ADDRESS:

CITY:

STATE:

ZIP CODE:

COUNTRY:

TELEPHONE: (Include Area Code)

FAX: (Include Area Code)

E-MAIL: (Optional)

PRODUCT TYPE

PACKAGE TYPE

STAIN COLOR

PRICE

PER GALLON

TOTAL
GALLONS

TOTAL
PRICE

SUBTOTAL

OTHER
CHARGES
(SEE BELOW)

GRAND TOTAL
NOTES:

SIGNATURE:________________________________

For mail orders, please make check or money order payable to: Standard Tar Products Co. Inc.
OR
For faxed orders without a P.O. number, please enter your credit card information below.
Name As It Appears On Credit Card

Type of Credit Card

Credit Card Number

Card Expiration Date

ALL PRICES PER GALLON
ALL PRICES INCLUDE DELIVERY
PRICES: FOB Destination. Add 20% for less than case quantities.
FREIGHT: Free within the continental U.S. Add 30% to Alaska, Hawaii, Canada, and Puerto Rico destinations.
TERMS: Net 30 days with approved credit. Mastercard/Visa accepted.
CASE PACK: Gallons- 4x1 gallons per case. 5 gallons- 1pail.

We thank you for your order.
It will be processed immediately upon our receipt.

SOLD TO		SHIP TO (IF DIFFERENT THAN SOLD TO)
NAME: TITLE: ADDRESS: CITY: STATE: ZIP CODE: COUNTRY: TELEPHONE: (Include Area Code) FAX: (Include Area Code) E-MAIL: (Optional)		NAME: TITLE: ADDRESS: CITY: STATE: ZIP CODE: COUNTRY: TELEPHONE: (Include Area Code) FAX: (Include Area Code) E-MAIL: (Optional)

PRODUCT TYPE	PACKAGE TYPE	STAIN COLOR	PRICE PER GALLON	TOTAL GALLONS	TOTAL PRICE





				SUBTOTAL
				OTHER CHARGES (SEE BELOW)
				GRAND TOTAL