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EZ GLIDES ONLINE ORDER FORM

 
Please fill in the requested information completely.  If you are a first time customer we will contact you to verify your information for our records.  All quantities indicate the number of boxes to order.  Each box contains 36 packages.

For pricing information, please call the order desk at 800-654-5744.
 

Company Name
Street Address
City, State, Zip Code
Buyers Name or PO#
Phone Number, (Area Code and Ext)

Please select the number of boxes for each size and color.
Brown #220
White #221
Sands #222
Brown #223
White #224
Sands #225
Brown #226
White #227
Sands #228
Brown Strip #229
White Strip #230
Sands Strip #231
Brown Pad #232
White Pad #233
Sands Pad #234
Brown Roll #235
White Roll #236
Sands Roll #237
Or call the EZ Glide Company at 800-654-5744

  You can also email us at the order desk or fax us at 800-831-5710.