ALPINE PORTABLE BUILDINGS, INC.
281-222-2276 Fax (281) 987-0677
11856 Connor ~ Houston, Texas 77039 www.alpineportablebuildings.com
SALES LOCATION: ___________________________ DATE:_____________________________
SOLD TO: _________________________________ CASH:____CHECK:____CHARGE:_______
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________________________________________ CARD#____________________________
SHIP TO: _________________________________ AUTH#______ _________EXP DATE_____
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HM. PHONE: _______________________________ SIGNATURE:________________________
WK.PHONE: _______________________________
CELL PHONE: ______________________________ ALL ORDERS C.O.D
BEST TIME TO CALL: _________________________ (Unless approved at time of order)
DELIVERY DATE: ____________________________
_Quantity ______________________________________________________________
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CHECK OPTIONS: _Pads (size), _Treated Joist, _Windows (size), _Ramps,
_Shelves (size), _Workbench, _Paint, _Door Size, _Loft Sections, _Vents
ROOF COLOR: White · Black · Tan · Medium Brown · Dark Brown · Weather Wood
Special Instructions:____________________ o Delivery Charges _______________________
_______________________________________ o Extra Leveling __________________________
_______________________________________ o Electricity ______________ (available_______)
_______________________________________ o Building Clearance (min.24") all sides _________
_______________________________________ o Pmt. Upon Completion _____________F.O.B.__
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_______________________________________ SUB TOTAL ______________
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_______________________________________ TAX ______________
_______________________________________ TOTAL _________
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DOWN PAYMENT _____________
BALANCE _____________
CHECK # _____________