Submit an order online below or
download the printable version for faxing! |
Customer:
|
Contact:
|
Attention:
|
Purchase Order Number:
|
Office / Cell phone:
|
Today's Date:
|
|
Date Required: |
|
Pick Up Delivery |
AM PM |
| |
SDR35 |
SDR35 |
SDR35 |
SCH40 |
SCH40 |
S & D |
S & D |
PE |
Size:
(check boxes required) |
4
Yes |
6
Yes |
8
Yes |
4
Yes |
6
Yes |
4
Yes |
6
Yes |
4
Yes |
|
Pallet Footage |
630LF |
520LF |
390LF |
480LF |
200LF |
900LF |
390LF |
100/250LF |
|
Solid Pipe Pallet Quantities |
SDR35 |
|
SCH40 |
|
S & D |
|
PE Drain |
|
Solid Pipe Less Pallet Quantity |
SDR35 |
|
SCH40 |
|
S & D |
|
PE Drain |
|
Perf Pipe Pallet Quantities |
SDR35 |
|
SCH40 |
|
S & D |
|
PE Drain |
|
Perf Pipe Less Pallet Quantity |
SDR35 |
|
SCH40 |
|
S & D |
|
PE Drain |
|
Note: This form can be used for ordering multiple types of pipe, but only 1 fitting option.
*Please submit a separate form for each type of fitting needed. |
*Fitting Type: |
SDR35 SCH40 S & D PE Drain
|
Size: |
1¼ Yes |
1½ Yes |
2 Yes |
2½ Yes |
3 Yes |
4 Yes |
6 Yes |
8 Yes |
|
90 Bend BB |
|
|
|
|
|
|
|
|
|
90 Bend BS |
|
|
|
|
|
|
|
|
|
45 Bend BB |
|
|
|
|
|
|
|
|
|
45 Bend BS |
|
|
|
|
|
|
|
|
|
22 Bend BB |
|
|
|
|
|
|
|
|
|
22 Bend BS |
|
|
|
|
|
|
|
|
|
Tee |
|
|
|
|
|
|
|
|
|
Tee Wye |
|
|
|
|
|
|
|
|
|
Coupling |
|
|
|
|
|
|
|
|
|
C O Cap |
|
|
|
|
|
|
|
|
|
C O Plug |
|
|
|
|
|
|
|
|
|
SCR Plug |
|
|
|
|
|
|
|
|
|
SCH/S&D ADPT |
|
|
|
|
|
|
|
|
|
PVC Reducer |
|
|
|
|
|
|
|
|
Misc. Items |
|
|
|
|
|
|
|
|
|
Rubber Coupling |
PVC/PVC |
|
PVC/AC |
|
PVC/Clay |
|
PVC/Conc |
|
| |
4x4 |
|
4x4 |
|
4x4 |
|
4x4 |
|
| |
6x4 |
|
6x4 |
|
6x4 |
|
6x4 |
|
| |
6x6 |
|
6x6 |
|
6x6 |
|
6x6 |
|
| |
8x6 |
|
8x6 |
|
8x6 |
|
N/A |
|
| |
8x8 |
|
8x8 |
|
8x8 |
|
8x8 |
|
|
Other Size |
|
Quantity |
|
|
|
|
|
|
DI Swr Saddle |
Romac CB4 |
|
Romac CB6 |
|
14.40 Strap |
|
25.80 Strap |
|
|
Rubber Saddle |
DWF 4 Tee |
|
DWF 4 Wye |
|
DWF 6 Tee |
|
DWF 6 Wye |
|
|
Filters |
Charcoal |
|
Zabel 1801 |
|
Zabel A300 |
|
|
|
|
Flow Adjuster |
Green |
|
Gray |
|
Dial A Flow |
|
Silt Fence |
|
|
PVC Cement |
½ Pint |
|
Pint |
|
Quart |
|
Hydraulic Cement |
|
|
PVC Cleaner |
½ Pint |
|
Pint |
|
Quart |
|
Snow Fence |
|
|
Lubricant |
8 oz. Tube |
|
Quart |
|
Gallon |
|
|
|
|
Marking Tape |
Blue/Water |
|
Green/Swr |
|
Yellow/Gas |
|
Red/Elec |
|
|
Marking Paint |
Orange |
|
Blue |
|
White |
|
Yellow |
|
|
Filter Fabric |
360 x 3' |
|
360 x 4' |
|
360 x 12' |
|
360 x 15' |
|
|
Notes |
|
| |
*Please enter your e-mail address:
|
|
All Material Pick Up and Deliveries are Subject to Stock Availability At the Time of Order
|