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v Orca Pacific order form
To place an order, please fill out the following information. Fields marked with an asterisk (*) are required. Upon receiving your order, Orca Pacific will contact you via e-mail, FAX, or telephone to confirm your order and specifications, provide price information, and process the transaction.
 
Please be as descriptive as possible in the item name.
Please include size of packaging desired.
Include product specifications where appropriate (i.e. sizes and packaging, necessary measurements, or special information).
 
If you would like to place orders for more than 10 items, please fill out and submit the order form multiple times (with ALL information filled out)

 

Last Name * First Name *
Company    
       
Purchase order #    
Customer number    
       
Address 1 * Address 2
City * State *
Zip *    
       
Phone (day) *    
Phone (evening)    
E-mail    
FAX    
       
     
1. Item Order Quantity  
Comments / Specifications * Be sure to include any specifications, such as sizes, measurements, packaging, etc.
       
           
2. Item Order Quantity  
Comments / Specifications * Be sure to include any specifications, such as sizes, measurements, packaging, etc.
       
           
3. Item Order Quantity  
Comments / Specifications * Be sure to include any specifications, such as sizes, measurements, packaging, etc.
       
           
4. Item

Order Quantity

  
Comments / Specifications * Be sure to include any specifications, such as sizes, measurements, packaging, etc.
       
           
5. Item Order Quantity  
Comments / Specifications * Be sure to include any specifications, such as sizes, measurements, packaging, etc.
       
           
6. Item Order Quantity  
Comments / Specifications * Be sure to include any specifications, such as sizes, measurements, packaging, etc.
       
           
7. Item Order Quantity  
Comments / Specifications * Be sure to include any specifications, such as sizes, measurements, packaging, etc.
       
           
8. Item Order Quantity  
Comments / Specifications * Be sure to include any specifications, such as sizes, measurements, packaging, etc.
       
           
9. Item Order Quantity  
Comments / Specifications * Be sure to include any specifications, such as sizes, measurements, packaging, etc.
       
           
10. Item Order Quantity  
Comments / Specifications * Be sure to include any specifications, such as sizes, measurements, packaging, etc.