Sulmac Inc. - Water Diverter and Order Form

Water Diverter Order Form

Billing Information
Contact Name:	*
Organization/Company:	*
Billing Address:	*

Town/City:	*
State/Province:	*
Zip Code:	*
Phone Number:	*
FAX Number:
Email Address:
Purchase Order Number:	*
Shipping Information (fill out if different from Billing Information)
Contact Name:
Organization/Company:
Shipping Address:

Town/City:
State/Province:
Zip Code:
Phone Number:
FAX Number:
Email Address:

Water Diverter Order Form

Code	Size	Price	Qty.	Total
36	3' x 6'	$65.40		$
38	3' x 8'	$68.16		$
310	3' x 10'	$70.20		$
66	6' x 6'	$76.44		$
68	6' x 8'	$82.86		$
610	6' x 10'	$89.22		$
Other sizes can be made as a special order, please specify them below: There will be a 2-3 week delivery time for special orders. Price is as follows: $1.50 per square foot and a $20.00 service charge.
Size		Price	Qty.	Total
		$		$

Subtotal:				$
5% Sales Tax (MA Residents only):				$
Shipping & Handling (see below):				$
Total:				$

Shipping and Handling Calculation Form:
UPS Regular Ground
UPS Red
UPS Blue
UPS Overnite

Orders faxed to (413) 536-4797 (in our shipping department)
by 3:00 p.m. EST will be shipped out the same day.

Worldwide Shipping

fob Holyoke, MA
Member SSF