Order Template

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Order & Pricing Form 60 Hamilton Street New Haven, CT 06511 (203-562-9885) Hamden Police HQ A.P. Construction Company, contact, and payment information (Please PRINT Clearly) Company: _____________________________________________ Trade: ______________________________________________ Ordered By: __________________________________________ Address: ____________________________________________ ____________________________________________ City: ___________________ State: _____ ZIP: ____________ Email: ______________________________________________ Phone: ____________________ Fax: ____________________ *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. Credit Card Orders May Be Faxed. ___ Cash (Pickup Only, Call Ahead For Total) ___ Check (Pickup Only, Call Ahead For Total) ___ Credit Card (MC, Visa, Amex) CC# ____________________ Exp ___________ ___ Charge My JM Account * Package and quantity Package Price $ Qty Complete Set of Plans & Specs (Non-Refundable Deposit) • • 275.00 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) _____ 2nd Day FedEx: _____ Priority Overnight _____ Standard Overnight 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: newhaven-jobs@MerrittGraphics.com Or Print And Fax Completed Form To: 203-865-1214

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