Plastruct, Inc. - 09032-09042 Form

			09032 To 09042 Order Form
			These Order Forms are designed to be printed on paper, filled in manually and forwarded to PLASTRUCT. They are not designed for online ordering. We recommend you print these pages at 75% of full size. See our Order Information Page for assistance on where and how to place your order.

NO. OF PKGS.	CAT. CODE	UPC CODE	PCS. PER PKG.	PKG. RETAIL PRICE	NO. OF PKGS.	CAT. CODE	UPC CODE	PCS. PER PKG.	PKG. RETAIL PRICE	NO. OF PKGS.	CAT. CODE	UPC CODE	PCS. PER PKG.	PKG. RETAIL PRICE
	PS-10	91510	2	9.75		PS-78	91586	1	9.95		PS-125	91651	2	9.75
	PS-13	91511	2	9.75		PS-79	91587	2	9.75		PS-127	91653	1	9.95
	PS-16	91512	2	9.75		PS-80	91588	2	9.75		PS-128	91654	2	9.75
	PS-19	91513	2	9.75		PS-81	91589	2	9.75		PS-128L	91643	1	9.95
	PS-23	91514	2	9.75		PS-81L	91615	1	9.95		PS-130	91655	2	9.75
	PS-25	91520	2	9.75		PS-82	91590	2	9.75		PS-131	91656	2	9.75
	PS-26	91521	2	9.75		PS-83	91591	2	9.75		PS-133	91658	1	9.95
	PS-27	91522	2	9.75		PS-85	91592	2	9.75		PS-134	91659	2	9.75
	PS-33	91530	2	9.75		PS-86	91593	2	9.75		PS-134L	91644	1	9.95
	PS-34	91531	2	9.75		PS-87	91601	1	9.95		PS-140	91670	2	9.75
	PS-37	91532	2	9.75		PS-89	91603	1	14.95		PS-141	91671	2	9.75
	PS-38	91533	2	9.75		PS-90	91604	2	9.75		PS-142	91672	2	9.75
	PS-40	91540	2	9.75		PS-90L	91616	1	9.95		PS-142L	91645	1	9.95
	PS-41	91541	2	9.75		PS-91	91605	2	9.75		PS-143	91673	1	9.95
	PS-42	91542	2	9.75		PS-92	91606	2	9.75		PS-145	91680	2	9.75
	PS-43	91543	2	9.75		PS-93	91607	1	9.95		PS-148	91681	2	9.75
	PS-44	91544	2	9.75		PS-94	91608	2	9.75		PS-150	91682	2	10.75
	PS-45	91545	2	9.75		PS-95	91609	2	9.75		PS-151	91683	2	10.75
	PS-46	91546	2	9.75		PS-97	91611	2	9.75		PS-152	91684	2	10.75
	PS-47	91550	2	9.75		PS-98	91612	2	9.75		PS-154	91686	2	10.75
	PS-49	91551	2	9.75		PS-98L	91617	1	9.95		PS-155	91687	2	10.75
	PS-52	91552	2	9.75		PS-100	91613	2	9.75		PS-160	91690	2	9.75
	PS-56	91554	2	9.75		PS-103	91620	2	9.75		PS-180	91695	2	9.75
	PS-56L	91558	1	9.95		PS-106	91621	2	9.75		WPSB-208	91801	1	6.20
	PS-59	91556	2	9.75		PS-108	91622	1	9.95		WPSB-308	91802	1	6.20
	PS-59L	91769	1	9.95		PS-110	91624	2	9.75		WPSB-408	91803	1	6.20
	PS-61	91560	2	9.75		PS-110L	91618	1	9.95		WPRB-608	91804	1	6.20
	PS-64	91561	2	9.75		PS-112	91630	2	9.75		WPSC-208	91811	1	8.95
	PS-67	91562	2	9.75		PS-115	91631	2	9.75		WPSC-308	91812	1	8.95
	PS-68	91570	2	9.75		PS-116	91632	2	9.75		WPSC-408	91813	1	8.95
	PS-69	91571	2	9.75		PS-116L	91619	1	9.95		WPRC-608	91814	1	8.95
	PS-70	91572	2	9.75		PS-117	91633	2	9.75
	PS-71	91573	2	9.75		PS-117L	91642	1	9.95
	PS-72	91580	2	9.75		PS-120	91636	1	9.95
	PS-73	91581	2	9.75		PS-121	91637	2	9.25
	PS-74	91582	2	9.75		PS-122	91638	2	9.25
	PS-75	91583	1	9.95		PS-123	91639	1	9.95
	PS-76	91584	2	9.75		PS-124	91650	2	9.25
NO. OF PKGS.	CAT. CODE	UPC CODE	PCS. PER PKG.	PKG. RETAIL PRICE	NO. OF PKGS.	CAT. CODE	UPC CODE	PCS. PER PKG.	PKG. RETAIL PRICE	NO. OF PKGS.	CAT. CODE	UPC CODE	PCS. PER PKG.	PKG. RETAIL PRICE

Store Name __________________________________________________________________________

Address 1 ___________________________________________________________________________

Address 2 ___________________________________________________________________________

City, State, Zip ________________________________________________________________________

Phone ______________________________ Fax ____________________________ Date _________

Name ________________________________________________ P.O. No. _____________________