UltraTec Products

On-line Order Request Form

Orders can be placed by calling, toll-free, 1-800-444-9789, e-mailing the form below, or faxing us the form results below.
If you would like step-by-step instructions on filling out the form below, call 1-800-444-9789.

BILLING INFORMATIONSHIPPING INFORMATION (If different then Billing)
Company
Contact
Phone
Fax
E-mail
Billing Address
Billing City, State, Zip
Country
Company
Shipping Address
Shipping City, State, Zip
Country

Tax Exemption ID
Purchase Order

BANGBOARDS®:
LENGTH HEIGHT COLOR QTY
1. (1 BANGBOARD®)
2. (1 BANGBOARD®)
3. (1 BANGBOARD®)
4. (1 BANGBOARD®)
5. (1 BANGBOARD®)
6. (1 BANGBOARD®)
7. (1 BANGBOARD®)
8. (1 BANGBOARD®)
SUB TOTAL*:

Payment Options:
Direct Billing
(Invoice will be mailed to you for payment)
Effective May 1st, 2010, we will accep the following: MC, VISA, AMX

 PRICING SCHEDULE
EACH BOARD
LENGTHHEIGHTPRICE / EACH
10 ft.6 in. $72
12 ft.6 in. $86
14 ft.6 in. $101
16 ft.6 in. $116
18 ft.6 in. $130
10 ft.8 in. $96
12 ft.8 in. $116
14 ft.8 in. $133
16 ft.8 in. $151
18 ft.8 in. $169
10 ft.10 in. $120
12 ft.10 in. $140
14 ft.10 in. $163
16 ft.10 in. $185
18 ft.10 in. $206

WARRANTY INFORMATION

* Price does not include shipping. Applicable taxes apply only to Kansas customers.

Comments or information about your order - please include how you heard about us:

UltraTec Products, Inc. / Jayhawk Plastics, Inc 913-764-8181 / 1-800-444-9789 | Fax: 913-782-3103
15285 South Keeler, Olathe KS 66062