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SALES ORDER AGREEMENT AND CREDIT CARD AUTHORIZATION FORM

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ORDER CONTACT FULL NAME:(Required)

ORDER CONTACT EMAIL:(Required)

ORDER CONTACT PHONE:(Required)

COMPANY/AGENCY:(Required)

PURCHASE ORDER/JOB NUMBER:

You are responsible for offloading the pallets from the delivery vehicle(Required)

(Forklift with a minimum capacity of 5,000 lbs). Otherwise, please contact us if you need additional accommodations.

Agree

Disagree

PLEASE SPECIFY HOW YOU'LL BE OFFLOADING YOUR ORDER:

PRODUCT QUANTITY:(Required)

*200 Filled Min/1000 Empty Min
*Bulk/Tote Bags 50 Empty Min

PRODUCT SELECTION:(Required)

Polypropylene Sandbags (choose color and type below)

Black Polyethylene Sandbags

Tote/Bulk Bag

Black Double Reinforced Polyethylene Sandbags

Burlap Sandbags

GeoTex Fabric Custom Sandbags

High-Strength Military Sandbags

Grab Bag/Saddle Bag

Straw Wattles

Yellow Monofilament Sandbags

Straw Blankets

Silt Socks

Silt Fencing

Hay Bales

Tubular Water Bladder
Allow 2-3 weeks to manufacture this product.

GeoTex/Non-Woven Bag

Nylon Sandbags With Handles

Purple Heat De-Icer 50lb Bag

Purple Heat De-Icer 2000lb Tote

Select a Polypropylene Color(Required)

No preference

Black (4,000 UV double-thickness)

Orange (1,600 UV)

Orange (4,000 UV double-thickness)

White (1,600 UV)

White (4,000 UV double-thickness)

Select a Polypropylene Bag Type(Required)

Sandbags

Gravel bags

Select a Polypropylene Color(Required)

36"x36"x40", holds up to 2,200 pounds

36"x36"x45", holds up to 3,000 pounds

35"x35"x54", holds up to 4,000 pounds

Choose one or more options

Select a Tote/Bulk Bag Type(Required)

36"x36"x40", holds up to 2,200 pounds

36"x36"x45", holds up to 3,000 pounds

35"x35"x54", holds up to 4,000 pounds

Choose one or more options

GRAB BAG OPTIONS:(Required)

Black Geo Fabric

Orange Canvas

PACKAGING OPTIONS:(Required)

Choose one or more options. (optional)

Bulk Bag(s)

Pallet(s)

Shrink Wrapped

PRODUCT TYPE:(Required)

Do you need the bags filled or unfilled? if applicable

Filled

Unfilled

APPROX. PRODUCT WEIGHT(Required)

If you need a custom weight, please select 'Other' and enter the value in pounds.

25 pound (standard) bag(s)

30 pound bag(s)

35 pound bag(s)

40 pound bag(s)

50 pound bag(s)

Other

PREFERRED DELIVERY DATE:(Required)

MM slash DD slash YYYY

DELIVERY TIME FRAME:(Required)

LOCATION TYPE(Required)

Commercial

Residential

DELIVERY ADDRESS:(Required)

Street Address Address Line 2 City State ZIP / Postal Code

DELIVERY DAY CONTACT:(Required)

DELIVERY PHONE:(Required)

TRUCKING(Required)

Can your facility accommodate a delivery on a commercial tractor/trailer of approximately 52ft

IF NO, EXPLAIN WHY NOT

SPECIAL INSTRUCTIONS:

BILLING PHONE:(Required)

BILLING EMAIL:(Required)

BILLING ADDRESS:(Required)

Street Address Address Line 2 City State ZIP / Postal Code

PAYMENT METHOD:(Required)

ACH PAYMENT AMOUNT:

PAYMENT AMOUNT:(Required)

(transaction fees)

Price: $0.00

Credit Card(Required)

Card Details

Cardholder Name

REQUIRED FIELD(Required)

I agree

I 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. Any canceled order is subject to a $250 cancellation fee. 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.

Total

TYPE YOUR NAME HERE:(Required)

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(Required)

MM slash DD slash YYYY

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SALES ORDER AGREEMENT AND CREDIT CARD AUTHORIZATION FORM

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