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© 2006 Recoating West
Incorporated. All Rights Reserved.

Loomis, California
Los Angeles, California

Order Form

Please submit your order online by completing the form below. If you have questions regarding your order, please contact info@recoatingwest.com


Recoating West Online Order Form

Fields marked with a * are required.
Plant Order Information:

Company Name:
Street Address:
City:
State:
Zip Code:
Email Address:
Ordered by:
Phone Number:
P.O. Number:
*Order Date: (mm/dd/yyyy)
*Required Delivery Date: (mm/dd/yyyy)


Shipping Contact Information:

Shipping information is same as above:
If shipping information is different from above, please fill out the fields below:
Company Name:
Street Address:
City:
State:
Zip Code:
Phone Number:
Contact Person:


Most Popular Products:

Lockers to be picked up: QTY
Description:

Locker order :  
14100 8 Compartment - Cam: QTY
14200 8 Compartment - Hasp: QTY
14300 8 Compartment - Combo:

QTY
14910 Big 8 Compartment - Cam: QTY
14920 Big 8 Compartment - Hasp: QTY
14930 Big 8 Compartment - Combo:

QTY
14521 2 Over 2 - Cam: QTY
14522 2 Over 2 - Hasp: QTY
14523 2 Over 2 - Combo:

QTY
10100 Laundry Lock Up - Standard: QTY
10500 Laundry Lock Up - Med: QTY
10400 Laundry Lock Up - Maxi: QTY
TDL Towel Dispensing Locker - Standard: QTY
TDL-L Towel Dispensing Locker - Large: QTY
GR56R 5"x6" Garment Rack - Rolling: QTY
GR56S 5"x6" Garment Rack - Stationary: QTY
RC44 Delivery Route Cart: QTY
Integra - Roll Towel Cabinet: QTY


Additional Products:

Product # Quantity Item Description


Special Instructions:


 




 
   
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