web site order form

BPMI, Inc
7902 SW Hunziker Road
Tigard, OR 97223
(503) 505-1824 Phone
(503) 328-7966 Fax
[email protected]
Contact: Peter Valdez
WEB SITE ORDER FORM
Product
Description
Item
#
EACH
Price
3-7/8” Drywall Plug
DP123
$5.99
DP126
$6.99
FP583
$6.49
FP586
$7.99
All Orders must be Pre‐paid By: 1/2” Thick Repair Patch
6-7/8” Drywall Plug
1/2” Thick Repair Patch
3-7/8” Fireguard Plug
5/8” Thick Repair Patch
6-7/8” Fireguard Plug
Part# FP586 Part# DP126 5/8” Thick Repair Patch
Part# FP583 Part# DP123 Product
Description
Item
#
EACH
Price
Pierce&Seal
PS001
$2.99
PS006
$5.99
Caulk Saver 2-Pack
Pierce&Seal
Caulk Saver 6-Pack
Part# PS006 Part# PS001 Product
Description
Item
#
UOM
EACH
Price
Mulligan Single
MP001-01
Each
$1.50
MP001-25
25/case
$35.00
MP001-100
100/case
$130.00
MP002-01
Each
$2.00
MP002-20
20/case
$38.00
MP002-50
50/case
$90.00
MP450-01
Each
$2.50
MP450-20
20/case
$48.00
MP450-50
50/case
$115.00
Gang Rough Cut Repair
Mulligan Single
Gang Rough Cut Repair
Mulligan Single
Gang Rough Cut Repair
Part# MP001 Mulligan Double
Gang Rough Cut Repair
Mulligan Double
Gang Rough Cut Repair
Mulligan Double
Gang Rough Cut Repair
Mulligan 4.5” Round
Gang Rough Cut Repair
Mulligan 4.5” Round
Gang Rough Cut Repair
Part# MP002 Part# MP450 Mulligan 4.5” Round
Gang Rough Cut Repair
$0.00
$4.00
$7.00
$12.00
$17.00
$22.00
$32.00
$42.00
$52.00
$62.00
$72.00
$82.00
$92.00
$102.00
$112.00
$122.00
$132.00
$142.00
$152.00
$162.00
$172.00
$182.00
$192.00
$202.00
$212.00
$219.00
$226.00
$233.00
$240.00
$247.00
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$4.00
$7.00
$12.00
$17.00
$22.00
$32.00
$42.00
$52.00
$62.00
$72.00
$82.00
$92.00
$102.00
$112.00
$122.00
$132.00
$142.00
$152.00
$162.00
$172.00
$182.00
$192.00
$202.00
$212.00
$219.00
$226.00
$233.00
$240.00
$247.00
$254.00
$3.00
$4.00
$6.00
$11.00
$12.50
$13.50
$14.50
$15.25
$16.00
$16.75
$17.50
$18.25
$19.00
$19.75
$20.50
$21.25
$22.00
$22.75
$23.50
$24.25
$25.00
$25.50
$26.00
$26.50
$27.00
$27.50
$28.00
$28.50
$29.00
$29.50
$254.00
$261.00
$268.00
$275.00
$282.00
$289.00
$296.00
$303.00
$310.00
$317.00
$324.00
$331.00
$338.00
$345.00
$352.00
$359.00
$366.00
$373.00
$380.00
$387.00
$394.00
$401.00
$408.00
$415.00
$422.00
$429.00
$436.00
$443.00
$450.00
$457.00
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$261.00
$268.00
$275.00
$282.00
$289.00
$296.00
$303.00
$310.00
$317.00
$324.00
$331.00
$338.00
$345.00
$352.00
$359.00
$366.00
$373.00
$380.00
$387.00
$394.00
$401.00
$408.00
$415.00
$422.00
$429.00
$436.00
$443.00
$450.00
$457.00
$464.00
$30.00
$30.50
$31.00
$31.50
$32.00
$32.50
$33.00
$33.50
$34.00
$34.50
$35.00
$35.50
$36.00
$36.50
$37.00
$37.50
$38.00
$38.50
$39.00
$39.50
$40.00
$40.50
$41.00
$41.50
$42.00
$42.50
$43.00
$43.50
$44.00
$44.50
Shipping charges are valid for Canada and the United States Only
Taxes are covered in the pricing
For orders over $465, please call for a quote.
All products are Made in the USA
WEB SITE ORDER FORM
Company Name
Contact
Phone
Email
Fax
Terms
Pre-Paid VISA/MC - Office will call to
confirm order and collect payment
Ship To Name
Ship To Name
Street Address
Street Address
City, St, Zip
City, St, Zip
Order Date
PO Number
Item #
Description
Each $
DP123
Drywall Plug 1/2" x 3-7/8" Dia.
$ 5.99
DP126
Drywall Plug 1/2" x 6-7/8" Dia.
$ 6.99
FP583
Fireguard Plug 5/8" x 3-7/8" Dia.
$ 6.49
FP586
Fireguard Plug 5/8" x 6-7/8" Dia.
$ 7.99
PS001
Pierce&Seal 2-pak
$ 2.99
PS006
Pierce&Seal 6-pak
$ 5.99
MP001-01
Mulligan Single Gang
$ 1.50
MP001-25
Mulligan Single Gang (25 per Case)
$ 35.00
MP001-100
Mulligan Single Gang (100 per Case)
$130.00
MP002-01
Mulligan Double Gang
$ 2.00
MP002-20
Mulligan Double Gang (20 per Case)
$ 38.00
MP002-50
Mulligan Double Gang (50 per Case)
$ 90.00
MP450-01
Mulligan 4.5" Round
$ 2.50
MP450-20
Mulligan 4.5" Round (20 per Case)
$ 48.00
MP450-50
Mulligan 4.5" Round (50 per Case)
$115.00
Quantity Ordered
$ Totals
Sub - Total
Shipping Charges
Total
Authorized Signature of Buyer ___________________________________________
Date _____________________
Confirm email address (for receipt) _____________________________________________________________________