EZ Glide Company Order Form

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EZ GLIDES ONLINE ORDER FORM

Please fill in the requested information completely. If you are a first time customer we will contact you to verify your information for our records. All quantities indicate the number of boxes to order. Each box contains 36 packages.

For pricing information, please call the order desk at 800-654-5744.

Company Name
Street Address
City, State, Zip Code
Buyers Name or PO#
Phone Number, (Area Code and Ext)

Please select the number of boxes for each size and color.

Brown #220

White #221

Sands #222

Brown #223

White #224

Sands #225

Brown #226

White #227

Sands #228

Brown Strip #229

White Strip #230

Sands Strip #231

Brown Pad #232

White Pad #233

Sands Pad #234

Brown Roll #235

White Roll #236

Sands Roll #237

	Or call the EZ Glide Company at 800-654-5744
You can also email us at the order desk or fax us at 800-831-5710.