Quick Order Form

                   Please Fill in this Form, Print it and FAX it to 941-923-2015

 Company Name:

 Address:          

 City:               ST:  ZIP: 

 Contact Name:    Direct Phone:
 Email address:               PO#:

                              Order Here

                  Please Fill in this Form, Print it and FAX it to 941-923-2015

                            Order / Price is per dozen

  Stock#    Quantity    Price per dozen    Total
  Stock#    Quantity    Price per dozen    Total
  Stock#    Quantity    Price per dozen    Total
  Stock#    Quantity    Price per dozen    Total
  Stock#    Quantity    Price per dozen    Total
  Stock#    Quantity    Price per dozen    Total
  Stock#    Quantity    Price per dozen    Total
  Stock#    Quantity    Price per dozen    Total
  Stock#    Quantity    Price per dozen    Total

                                                                            Subtotal:

                                        Sales Tax:

   Shipping:  NO charge if order is over $100.00           Shipping:
                   $6.00 if under $100.00

                                                                                Total:

                                                                                       

               Shipping Instructions- Alternate Address, UPS Red, UPS Collect #, etc:

FOUNDERS BRUSH COMPANY, A NATIONAL DISTRIBUTOR OF INDUSTRIAL BRUSHES,

IS A SMALL, WOMEN-OWNED BUSINESS

 LET US WORK TO SATISFY YOUR BRUSH REQUIREMENTS

Return to Founders Brush.com