Order & Pricing Form
Hartford Public Safety Complex
Set Aside Package
650 Franklin Ave. Hartford, CT 06114
P-860-296-2500 F-860-947-3288 Gilbane Building Co.
Company, contact, and payment information (Please PRINT Clearly)
Company: _____________________________________________ ___ Cash (Pickup Only, Call Ahead For Total)
Trade: ______________________________________________ ___ Check (Pickup Only, Call Ahead For Total)
Ordered By: __________________________________________ ___ Credit Card (MC, Visa, Amex)
Address: ____________________________________________ CC# ____________________
____________________________________________ Exp ___________
City: ___________________ State: _____ ZIP: ____________ ___ Charge My JM Account *
Email: ______________________________________________
*If You Do Not Have An Account With Joseph Merritt,
You Will Need To Apply For One Or Use A Credit Card
Before Your Order Can Be Processed.
Phone: ____________________ Fax: ____________________ Credit Card Orders May Be Faxed.
Package and quantity
Package Price Qty
Complete Set of Plans & Specs (Non-Refundable Deposit) $ 250.00
• Sold by complete sets only, no partial or individual sheets available. Non-Refundable Project
• Does not include tax, ENS, delivery, or shipping charges.
Shipping Information
Shipping Method**: _____ Pickup JMC _____ Local Delivery ($15.95)
FedEx: _____ Priority Overnight _____ Standard Overnight _____ 2nd Day
UPS: _____ Ground _____ 2nd Day
** Your FedEx or UPS Account #: ________________________
** (A $20.00 Wrap, Label, & Handling Fee Applies If We Use Your Fedex or UPS Account Number)
Shipping Address (only if different from above):
Address, City, State, Zip __________________ ______________________________________
________________________________________________________
Note: Please allow 24-48 hours from receipt of order until shipment.
Any incomplete, illegible, or incorrect information may result in delay of order processing.
Click Here To Submit Your Completed Form To: CAD@MerrittGraphics.com
Or Print And Fax Completed Form To: 860-947-3288