Order / Quote Form

Company Name: Address: City: State: Zip: Country: Contact Name: Phone #: Fax #: E-Mail: Thermal POS Rolls: Width --- Length --- Rolls/ctn 2¼" ---------- 85' --------- 120 2¼" ---------- 98' --------- 120 2¼" --------- 200' ---------- 50 2 5/16" ---- 200' ---------- 50 2 9/32" ---- 400' ---------- 12 3" ----------- 230' ---------- 50 3 1/8" ------ 119' ---------- 50 3 1/8" ------ 230' ---------- 50 3 1/8" ------ 273' ---------- 50 3 1/8" ------ 420' ---------- 32 3 5/16" -----117' ---------- 30 4 9/32" -----116' ---------- 30 4 9/32" -----130' ---------- 50 # of Cartons 1 2 3 4 5 6 7 8 9 10 15 20 25 50 100 150 Other If quantity is other use the blank box to specify Width --- Length --- Rolls/ctn 2¼" ---------- 85' --------- 120 2¼" ---------- 98' --------- 120 2¼" --------- 200' ---------- 50 2 5/16" ---- 200' ---------- 50 2 9/32" ---- 400' ---------- 12 3" ----------- 230' ---------- 50 3 1/8" ------ 119' ---------- 50 3 1/8" ------ 230' ---------- 50 3 1/8" ------ 273' ---------- 50 3 1/8" ------ 420' ---------- 32 3 5/16" -----117' ---------- 30 4 9/32" -----116' ---------- 30 4 9/32" -----130' ---------- 50 # of Cartons 1 2 3 4 5 6 7 8 9 10 15 20 25 50 100 150 Other Multi Ply Rolls: Width -- Length -- Rolls/ctn 1½" ------- 100' ------- 100 1¾" ------- 100' ------- 100 2¼" -------- 75' -------- 100 2¼" ------- 100' ------- 100 2¼" ------- 100' ------- 100 2¾" ------- 100' --------- 50 2¾" ------- 100' --------- 50 3" --------- 100' --------- 50 3" --------- 100' --------- 50 3¼" -------- 85' ---------- 50 3¼" ------- 100' --------- 50 3¼" ------- 100' --------- 50 4½" -------- 85' ---------- 25 # of Cartons 1 2 3 4 5 6 7 8 9 10 15 20 25 50 100 150 Other If quantity is other use the blank box to specify Width -- Length -- Rolls/ctn 1½" ------- 100' ------- 100 1¾" ------- 100' ------- 100 2¼" -------- 75' -------- 100 2¼" ------- 100' ------- 100 2¼" ------- 100' ------- 100 2¾" ------- 100' --------- 50 2¾" ------- 100' --------- 50 3" --------- 100' --------- 50 3" --------- 100' --------- 50 3¼" -------- 85' ---------- 50 3¼" ------- 100' --------- 50 3¼" ------- 100' --------- 50 4½" -------- 85' ---------- 25 # of Cartons 1 2 3 4 5 6 7 8 9 10 15 20 25 50 100 150 Other Plain Paper Rolls: Width -- Length -- Rolls/ctn 1½" -------- 75' --------- 100 1½" ------- 137' -------- 100 1¾" -------- 65' --------- 100 1¾" --------150' -------- 100 2¼" --------150' -------- 100 2¼" ------- 165' -------- 100 2¾" ------- 150' ---------- 50 2¾" ------- 165' ---------- 50 3 " --------- 150' ---------- 50 3 " --------- 165' ---------- 50 3¼" --------165' ---------- 50 3¼"-------- 240' ---------- 46 4½" ------- 150' ---------- 50 4½" ------- 170' ---------- 50 # of Cartons 1 2 3 4 5 6 7 8 9 10 15 20 25 50 100 150 Other If quantity is other use the blank box to specify Width -- Length -- Rolls/ctn 1½" -------- 75' --------- 100 1½" ------- 137' -------- 100 1¾" -------- 65' --------- 100 1¾" --------150' -------- 100 2¼" --------150' -------- 100 2¼" ------- 165' -------- 100 2¾" ------- 150' ---------- 50 2¾" ------- 165' ---------- 50 3 " --------- 150' ---------- 50 3 " --------- 165' ---------- 50 3¼" --------165' ---------- 50 3¼"-------- 240' ---------- 46 4½" ------- 150' ---------- 50 4½" ------- 170' ---------- 50 # of Cartons 1 2 3 4 5 6 7 8 9 10 15 20 25 50 100 150 Other Thermal Fax Paper Width -- Length -- Core 8½" ------- 98' -------- 1½ 8½" ------- 98' -------- 1 8½" ------- 164' ------- ½ 8½" ------- 164' ------- 1 8½" ------- 164' ------- 1½ 8½" ------- 328' ------- 1 8½" ------- 328' ------- 1½ 8½" ------- 328' ------- 2 # of Cartons 1 2 3 4 5 6 7 8 9 10 15 20 25 50 100 150 1000 5000 20"container 40"container Other If quantity if other use the blank box to specify Width -- Length -- Core 8½" ------- 98' -------- 1½ 8½" ------- 98' -------- 1 8½" ------- 164' ------- ½ 8½" ------- 164' ------- 1 8½" ------- 164' ------- 1½ 8½" ------- 328' ------- 1 8½" ------- 328' ------- 1½ 8½" ------- 328' ------- 2 # of Cartons 1 2 3 4 5 6 7 8 9 10 15 20 25 50 100 150 1000 5000 20"container 40"container Other Comments:

7709 West 20th Avenue, Hialeah, Florida · 33014 Phone: 305-828-1701  Fax: 305- 824-1606 Toll Free: 1-800-969-1601 E-mail Us at Domestic and Export Sales "se habla español" Darlene Alvarez dalvarez@faxpaper.com Phil Camejo pcamejo@faxpaper.com Jay Silva jsilva@faxpaper.com M. Richard Munoz mmunoz@faxpaper.com   We Accept: