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	8.80		TREE-90	94010	3	17.85		PREL-38	94151	4	13.40
	ARM-50	94032	5	9.95		TREE-125	94011	3	19.00		PREL-57	94152	3	13.40
	ARM-75	94033	5	10.95		TREE-150	94012	2	19.00		PREL-88	94153	3	20.95
	ARM-100	94034	4	10.95		TREE-175	94013	2	21.20		PREL-118	94154	2	20.95
	ARM-150	94035	2	9.95							PREP-38	94161	4	18.95
	ARM-200	94036	2	9.95		TR-2A	94341	5	6.65		PREP-63	94162	2	15.60
	FIR-7	94041	5	9.95		TRB-3	94377	3	6.25		PREP-100	94163	2	20.95
	FIR-11	94042	5	11.95		SUG-25	94251	6	5.30		PREP-125	94164	2	28.95
	FIR-25	94043	5	12.95		SUG-50	94252	5	6.60		PRER-25	94121	5	20.95
	FIR-45	94044	5	13.95		SUG-85	94253	4	7.80		PRER-38	94122	4	20.95
	FIR-50	94045	5	15.95		SUG-95	94254	3	8.45		PRER-50	94123	3	20.95
	FIR-90	94046	4	20.95		SUG-105	94255	3	8.90		PRER-63	94124	3	23.95
	FIR-125	94047	3	20.95		PEAR-4	94071	18	4.30		PRER-75	94125	2	21.95
	FIR-175	94048	2	18.95		PEAR-7	94072	20	5.60		PREW-38	94131	2	11.15
	PALM-7	94061	5	9.95		TRUNK-20	94092	5	3.30		PREW-50	94132	2	15.60
	PALM-11	94062	5	10.95		TRUNK-30	94093	3	2.60		PREW-75	94133	2	21.95
	PALM-38	94063	2	7.80		TRUNK-40	94094	5	3.30
	PALM-55	94064	2	9.95
	PALM-100	94065	2	13.40
	PALM-150	94066	1	12.25
	PALM-225	94067	1	15.60							FOAM-101	94401	-	7.95
	POP-7	94021	5	10.00							FOAM-102	94402	-	7.95
	POP-11	94022	5	11.15							FOAM-103	94403	-	7.95
	POP-25	94023	5	12.25		PREE-6	94101	5	11.15		FOAM-104	94404	-	7.95
	POP-45	94024	5	14.50		PREE-12	94102	5	13.40		FOAM-105	94405	-	7.95
	POP-50	94025	5	20.10		PREE-19	94103	5	16.75		FOAM-106	94406	-	7.95
	POP-90	94026	4	24.60		PREE-25	94104	4	16.75		FOAM-201	94411	-	7.35
	POP-125	94027	3	21.20		PREE-38	94105	4	18.95		FOAM-202	94412	-	7.35
	POP-175	94028	2	21.20		PREE-50	94106	3	18.95		FOAM-203	94413	-	7.35
	TREE-7	94001	5	6.65		PREE-60	94107	2	15.60		FOAM-204	94414	-	7.35
	TREE-11	94002	5	10.00		PREE-75	94108	1	8.90		FOAM-205	94415	-	7.35
	TREE-18	94003	5	11.15		PREE-85	94109	1	9.95		FOAM-206	94416	-	7.35
	TREE-25	94004	5	12.25		PREE-100	94110	1	12.25		FOAM-301	94421	-	7.35
	TREE-30	94005	5	12.25		PREE-125	94111	1	14.50		FOAM-302	94422	-	7.35
	TREE-38	94006	5	13.40		PREJ-38	94141	4	20.95		FOAM-303	94423	-	7.35
	TREE-45	94007	5	14.50		PREJ-50	94142	3	19.95		FOAM-304	94424	-	7.35
	TREE-50	94008	4	15.60		PREJ-63	94143	3	23.95		FOAM-305	94425	-	7.35
	TREE-70	94009	4	20.10							FOAM-306	94426	-	7.35
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. _____________________