Order SALES ORDER AGREEMENT AND CREDIT CARD AUTHORIZATION FORM Fields marked with an * are required ORDER CONTACT FULL NAME*ORDER CONTACT EMAIL* ORDER CONTACT PHONE*COMPANY/AGENCY*PURCHASE ORDER/JOB NUMBERA forklift is required at the delivery location.*You are responsible for offloading the pallets from the delivery vehicle, (Forklift with a minimum weight of 5,000 lbs). Otherwise, please contact us if you need additional accommodations.AgreeDisagreePRODUCT QUANTITY**250 Filled Min/200 Empty MinPRODUCT SELECTION Black Polypropylene Sandbags White Polypropylene Sandbags Tote/Bulk Bag Black Double Reinforced Polyethylene Sandbags Burlap Sandbags GeoTech Fabric Custom Sandbags High-Strength Military Sandbags Straw Wattles Yellow Monofilament Sandbags Straw Blankets Silt Socks Silt Fencing Hay Bales Tubular Water Bladder PREFFERRED DELIVERY DATE* PRODUCT TYPEDo you need the bags filled or unfilled? if applicableFilledUnfilledDELIVERY TIME FRAME*DELIVERY STREET ADDRESS*DELIVERY CITY*DELIVERY STATE*DELIVERY ZIP CODE*DELIVERY DAY CONTACT*DELIVERY PHONE*SPECIAL INSTRUCTIONSBILLING PHONE*BILLING EMAIL* BILLING STREET ADDRESS*BILLING CITY*BILLING STATE*BILLING ZIP CODE*PAYMENT METHOD*- Select payment method -ACHCredit CardPay LaterPAYMENT AMOUNT* ACCOUNT NUMBER*ROUTING NUMBER*Credit Card* American ExpressDiscoverMasterCardVisa Card Number MM010203040506070809101112 YYYY20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name Total $0.00 REQUIRED FIELD* I agree Show Full AgreementI understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature. By checking this box and typing my name below, I electronically sign this credit card authorization form.DISCLAIMER: NO RETURNS ARE ACCEPTED. ALL SALES ARE FINAL. Once this Sales Order Agreement has been confirmed by Sandbagstogo.com, LLC it may only be changed by written agreement signed by both Company and Sandbagstogo.com, LLC. In the event that a truck is unable to access the delivery location on the day of delivery and/or is delayed or rescheduled at no fault of its own, there will be an additional cancellation fee assessed at the discretion of the trucking company. Sandbagstogo.com, LLC makes no express or implied warranties of merchantability or representations as to the fitness of the products for any particular use or purpose.TYPE YOUR NAME HERE:*Card will be charged upon receipt, one-time for the amount indicated. I certify that I am an authorized user of the credit card and that I will not dispute the payment with my credit card company, so long as the transaction corresponds to the terms indicated on this form.DATE* This iframe contains the logic required to handle Ajax powered Gravity Forms.