Plastruct, Inc. - 09052 Form

			09052 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
	ARM-30	94031	5	7.00		POP-50	94025	5	12.90		PREJ-38	94141	4	25.00
	ARM-50	94032	5	8.20		POP-90	94026	4	15.30		PREJ-50	94142	3	25.00
	ARM-75	94033	5	9.40		POP-125	94027	3	16.45		PREJ-63	94143	3	26.00
	ARM-100	94034	4	9.40		POP-175	94028	2	17.65		PREL-38	94151	4	25.00
	ARM-150	94035	2	8.20		SUG-25	94251	6	4.25		PREL-57	94152	3	25.00
	ARM-200	94036	2	8.20		SUG-50	94252	5	5.25		PREL-88	94153	3	32.00
	CAC-25	94051	5	10.00		SUG-85	94253	4	6.25		PREL-118	94154	2	29.00
	CAC-50	94052	5	11.80		SUG-95	94254	3	7.25		PREP-38	94161	4	25.00
	CAC-100	94053	4	12.95		SUG-105	94255	3	7.75		PREP-63	94162	2	23.00
	CAC-140	94054	2	12.95		TREE-7	94001	5	7.50		PREP-100	94163	2	26.00
	FIR-7	94041	5	8.85		TREE-11	94002	5	8.25		PREP-125	94164	2	32.00
	FIR-11	94042	5	10.05		TREE-18	94003	5	9.00		PRER-25	94121	5	25.00
	FIR-25	94043	5	11.20		TREE-25	94004	5	10.00		PRER-38	94122	4	25.00
	FIR-45	94044	5	12.40		TREE-30	94005	5	10.50		PRER-50	94123	3	28.00
	FIR-50	94045	5	13.55		TREE-38	94006	5	11.00		PRER-63	94124	3	30.00
	FIR-90	94046	4	14.75		TREE-45	94007	5	12.00		PRER-75	94125	2	31.00
	FIR-125	94047	3	15.95		TREE-50	94008	4	12.50		PREW-38	94131	2	16.00
	FIR-175	94048	2	17.10		TREE-70	94009	4	13.00		PREW-50	94132	2	20.00
						TREE-90	94010	3	13.50		PREW-75	94133	2	28.00
	PAL-60	94262	4	10.95		TREE-125	94011	3	13.50
	PAL-95	94263	3	10.95		TREE-150	94012	2	15.00		FOAM-101	94401	-	5.85
	PAL-140	94264	2	10.95		TREE-175	94013	2	17.50		FOAM-102	94402	-	5.85
	PAL-190	94265	2	10.95		TRUNK-10	94091	5	2.25		FOAM-103	94403	-	5.85
	PAL-300	94266	1	7.95		TRUNK-20	94092	5	2.25		FOAM-104	94404	-	5.85
	PALM-7	94061	5	8.85		TRUNK-30	94093	3	1.75		FOAM-105	94405	-	5.85
	PALM-11	94062	5	9.50		TRUNK-40	94094	5	2.25		FOAM-106	94406	-	5.85
	PALM-38	94063	2	11.50							FOAM-201	94411	-	5.85
	PALM-55	94064	2	13.95		PREE-6	94101	5	8.00		FOAM-202	94412	-	5.85
	PALM-100	94065	2	15.95		PREE-12	94102	5	12.50		FOAM-203	94413	-	5.85
	PALM-150	94066	1	17.95		PREE-19	94103	5	15.00		FOAM-204	94414	-	5.85
	PALM-225	94067	1	19.95		PREE-25	94104	4	17.50		FOAM-205	94415	-	5.85
	PEAR-4	94071	18	3.85		PREE-38	94105	4	20.00		FOAM-206	94416	-	5.85
	PEAR-7	94072	20	5.00		PREE-50	94106	3	20.00		FOAM-301	94421	-	5.85
	PEAR-11	94073	16	6.50		PREE-60	94107	2	17.50		FOAM-302	94422	-	5.85
	POP-7	94021	5	8.85		PREE-75	94108	1	12.50		FOAM-303	94423	-	5.85
	POP-11	94022	5	9.40		PREE-85	94109	1	15.00		FOAM-304	94424	-	5.85
	POP-25	94023	5	10.00		PREE-100	94110	1	18.00		FOAM-305	94425	-	5.85
	POP-45	94024	5	11.20		PREE-125	94111	1	24.00		FOAM-306	94426	-	5.85
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. _____________________