FLORIDA CONCRETE & PRODUCTS ASSOCIATION
3030 DADE AVENUE, ORLANDO, FL 32804
PHONE: 407-895-9333 FAX: 407-895-3733
PUBLICATION ORDER CONTACT: HOLLIE WARE

PUBLICATION ORDER FORM

ORDERED BY:

_________________________________________

_________________________________________

_________________________________________

Phone:_________________ Fax_______________

SHIP TO: (if different)

_________________________________________

_________________________________________

_________________________________________

QTY

PUB NO

PUBLICATION NAME

 UNIT PRICE TOTAL
         
         
         
         
         
         
         
6.5% SALES TAX  
SHIPPING & HANDLING  
ORDER TOTAL  

NOTICE TO CUSTOMERS:
Sales Tax will be charged on all orders shipped to Florida locations or picked up in our office.
Prices are subject to change, and publications are subject to availability.

PAYMENT IS REQUIRED BEFORE PUBLICATIONS WILL BE SHIPPED.

METHOD OF PAYMENT

[ ] Check #_____for $______enclosed

[ ] Check is being mailed
[ ] Charge to (circle one):
VISA • MC • AMEX • DISCOVER

CARD No:_________________________

Signature:________________________


For Office User Only

Date Order Rec'd:____________________




Expiration Date: ____________________________

Phone: ____________________________________




Date Order Shipped:_________________________