ScourGuards Order Form

Please print the form, fill it out, and mail or fax to:
     Connecticut Packaging Materials, Inc.
    5 South Satellite Road
    South Windsor, CT 06074
      Fax: (860) 817-1717

Order Information:

Order#
Title
Unit Price
Quantity
Total
         
         
         
         
         
         
         
Subtotal
  
6% Sales Tax (CT residents only)
  
Shipping and Handling (click for details)
 
Order Total
 

Shipping Information:

Name:  
Company:
Address:  
City/State/Zip:  
Phone number:
Email:

Payment Method:

Check (payable to Publications)
    Purchase Order Number:
Credit Card: Visa MasterCard Discover
   Card Number:  
Expiration Date:  
Signature: 

Questions? Please call (860) 817-7000, or email sales@ctpkg.com
Thank you for your order!