Page 610 - Buyers Guide 2023

BILLING/SHIPPING
5710 NW 41st Street | Riverside, MO 64150 1-800-456-5624 | kochsupplies@bunzlusa.com
FAX: 1-800-329-5624
PAYMENT
FREE SHIPPING*
FREE GROUND SHIPPING
when you place an order for $500 or more from
THIS BUYERS GUIDE!
*FREE SHIPPING does not include UPS Next Day Air, UPS 2nd Day or UPS 3rd Day Select. Certain items may not qualify. This offer is good only on orders shipped UPS Ground in the 48 contiguous states.
Based on dimensional weight, we will determine the most efficient means of shipment, either UPS or LTL. Products may ship by truckline.
Type:  AmEx  Discover  MasterCard  Visa
CC #: _____________________________________________________
Exp.: _____________________________________ CVV#:__________
For your convenience, we have made ordering simple by accepting all major credit cards including Discover, American Express, Visa and MasterCard. We even accept payments via Telecheck.
Bill To: ____________________________________________________ __________________________________________________________ __________________________________________________________ Phone: _____________________ Fax: _________________________ Contact: __________________________________________________
Ship To: __________________________________________________ __________________________________________________________ __________________________________________________________
Purchase Order #: __________________________________________
ORDER INFORMATION
ITEM NO. PRODUCT QTY. UNIT COST LINE TOTAL
ORDER TOTAL**
**Taxes will be added to order total.
STAY UPTODATE
NEW Address: _________________________________________________________________________________________________________________ NEW Phone: _____________________________________________________ NEW Fax: ____________________________________________________ Email: __________________________________________________________ Receive EXCLUSIVE Internet Offers!
NEW/Additional Contacts:_______________________________________________________________________________________________________