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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
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.