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791 Shotgun Road Sunrise, Fl 33326

Supplies Order Form

For Prompt Scheduling; Submit or Print This Form and Fax, Filled Out To: Weston

FAX 954-888-9112
PHONE 954-349-1916
SUNRISE, FL 33326

ITEM DESCRIPTION PRICE QTY
1.5 12x12x18 Box $2.45
3.0 18x18x18 Box $3.45
4.5 18x18x24 Box $4.35
6.0 20x20x20 Box $6.85
Dish Pack 18x18x27 X/S Box $11.80
Wardrobe 21x24x47 Box w/Bar $14.25
Mirror/Picture Pack Adjustable Box $5.50
Small Bubble Small Roll $25.00
Bubble Wrap Large Roll $51.50
Brown Pad One Bundle $56.50
Tape One Roll $3.00
Plastic Wrap One Roll $29.00
Mattress Bag One Bag Single $4.00
Mattress Bag One Bag Full/Queen $5.00
Mattress Bag One Bag King $6.00
Commercial Bin Large Box 3'x3'x4' $24.00
Markers Permanent Black, One $3.50
Method of Payment
For Special Packages, Circle Package Number:

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