*Bill To:                                                                      *Ship To: 
      

Taxable: Yes  No                               Date Needed: 
Receiving Hours:              Trailer Type: Van Flat Bed

Contact:                            Phone:         
Fax:                                  E-Mail:          

Qty.        Pallet Size:     4-way entry   2-way entry

Runners:            Qty.         Size:
Top Deck:         Qty.         Size:
Bottom Deck:    Qty.        Size:

Mixed Hardwoods:        Winged Top:     
All Oak:                         Winged Bottom:
Pine:                              No Wing:         
Recycled:               
No Preference:      

Special Instructions: