Plastruct, Inc. - 09003/09004 Form

			09003/09004 Order Form
			These Order Forms are designed to be printed on paper, filled in manually and forwarded to PLASTRUCT. They are not designed for online ordering. We recommend you print these pages at 75% of full size. See our Order Information Page for assistance on where and how to place your order.

NO. OF PKGS.	CAT. CODE	UPC CODE	PCS. PER PKG.	PKG. RETAIL PRICE	NO. OF PKGS.	CAT. CODE	UPC CODE	PCS. PER PKG.	PKG. RETAIL PRICE	NO. OF PKGS.	CAT. CODE	UPC CODE	PCS. PER PKG.	PKG. RETAIL PRICE
	A-1	90001	10	6.25		T-1	90081	10	7.25		FARB-2H	90251	10	5.25
	A-2	90002	10	7.25		T-2	90082	8	6.55		FARG-2H	90261	10	5.25
	A-3	90003	8	6.95		T-3	90083	8	7.35		FARR-2H	90271	10	5.25
	A-4	90004	7	7.10		T-4	90084	7	7.45		FARY-2H	90281	10	5.25
	A-6	90005	5	7.25		T-6	90085	5	7.75		FARB-3H	90252	8	6.15
	A-8	90006	4	6.55		T-8	90086	4	7.35		FARG-3H	90262	8	6.15
	A-10	90007	4	7.75							FARR-3H	90272	8	6.15
	A-12	90008	3	6.95		TB-1	90101	15	8.75		FARY-3H	90282	8	6.15
						TB-2	90102	12	7.55		FARB-4H	90253	7	7.10
	B-2	90021	10	7.25		TB-3	90103	10	6.75		FARG-4H	90263	7	7.10
	B-3	90022	8	6.55		TB-4	90104	10	7.25		FARR-4H	90273	7	7.10
	B-4	90023	7	7.10		TB-6	90105	9	7.85		FARY-4H	90283	7	7.10
	B-6	90024	5	7.25		TB-8	90106	7	7.45
	B-8	90025	4	6.55		TB-10	90107	6	7.85		HP-3	90171	4	6.15
	B-10	90026	4	7.55		TB-12	90108	5	7.75		HP-4	90172	4	6.55
	B-12	90027	5	7.25							HP-6	90173	4	6.75
	B-14	90028	4	6.15		ST-4	90201	7	7.10
	B-16	90029	4	7.35		ST-6	90202	6	7.25		OWTA-4	90401	2	4.65
	B-18	90030	4	7.95		ST-8	90203	5	7.25		OWTA-6	90402	2	5.35
	B-20	90031	3	6.95		ST-10	90204	4	6.55		OWTA-8	90403	2	6.15
						ST-12	90205	4	7.55		OWTA-12	90404	2	6.95
	C-2	90041	10	7.25							OWTA-16	90405	2	7.85
	C-3	90042	8	6.95		RT-8	90221	6	6.95		OWTA-20	90406	2	8.75
	C-4	90043	7	7.10		RT-10	90222	5	6.75		OWTA-24	90407	2	9.65
	C-6	90044	5	6.00		RT-12	90223	5	7.75		OWTA-32	90408	2	10.35
	C-8	90045	4	6.15
	C-10	90046	4	7.55		STSC-1	90361	5	7.75		HR-2	90471	2	2.55
						STSC-2	90362	4	6.75		HR-4	90472	2	3.15
	H-2	90061	8	7.35		STSS-1	90365	5	7.75		KL-2	90421	2	2.55
	H-3	90062	6	6.35		STSS-2	90366	4	6.75		KL-4	90422	2	3.15
	H-4	90063	5	6.00							KL-8	90423	2	6.35
	H-6	90064	4	6.75		MIW-1	90121	10	5.75		SR-2	90481	2	2.55
	H-8	90065	5	6.50		MIW-2	90122	10	6.25		SR-4	90482	2	3.15
	H-10	90066	5	7.25							STA-2	90441	2	3.65
	H-12	90067	4	6.15		AR-2H	90291	40	8.95		STA-4	90442	2	4.55
						AR-4H	90292	30	8.75		CL-4	90431	1	4.80
	SAR-4	90351	5	6.50							CL-8	90432	1	7.95
	SAR-8	90352	5	7.25		PPC-2	00002	12	52.80

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Phone ______________________________ Fax ____________________________ Date _________

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