Company Name:
Mailing Address:
Shipping Address:
Phone: Fax:
E-mail:
Contact Person:
Pallet Size: 2-Way: 4-Way:
HEAT TREAT: Yes No
STRINGERS/BLOCKS
Pieces X X
Notch: Size: Placement:
Stringers: Evenly Spaced: or Specify Spacing
Outside Stringers: Flush: or Set in: inches
Top Deck Pieces X X
Bottom Deck Pieces X X
Nails Per Contact Point: Top Deck: Bottom Deck:
Size of Nails/Staples: Approximate Pallet Usage:
Delivered on Flatbed or Van
Delivery Hours
(If you prefer, you can print and fax the completed form to (812) 547-4882. Thank You!)
