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Store Name:_______________________________________________
Store #:____________________ Phone #:______________________________________
Fax #:_________________________________ Address:______________________________________________________________________________
On-Site Contact:_____________________________________ Phone #:__________________________
# of 8' x 20' Containers____________________ Estimated date for delivery_________________
_________20's need to have the container doors facing the cab of the delivery truck
_________20's need to have the container doors facing the rear of the delivery truck
# of 8' x 40' Containers____________________ Estimated Date for delivery_________________
_________40's need to have the container doors face the cab of the delivery truck
_________40's need to have the container doors face the rear of the delivery truck
Other Containers needed__________________Date for delivery_________________
Please circle door placement Cab Rear
Other comments________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
___________________________________________ ______________________________
Please print name of person placing order Title
___________________________________________ ______________________
Signature Date
As always, we will do everything we can to assure you get the products you want when you want them. The sooner we get this form from you, the sooner we can set your units aside and put you on the delivery schedual. We appreciate your coroperation and wish you a very sucessful holiday season.
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