CUSTOM MAT COMPANY, INC'

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CHAIRMAT ORDER FORM
CUSTOM MAT COMPANY, INC. 3448 YALE
STREET Houston, TX 77018 PH 713-688-6161 FAX
713-688-5188
DATE
CHECK ONE MEASURE ORDER
EMAIL CUSTOMMAT_at_AOL.COM ONLINE FORM AVAILABLE
AT WWW.CHAIRMATS.NET
CUSTOMER INFORMATION - PO
PO
NAME STREET ADD CONTACT NAME PH
YOUR COMPANY NAME GOES HERE
DELIVER TO WAREHOUSE
DELIVER TO CUSTOMER
SALES PERSON PHONE FAX
SPECIAL INSTRUCTIONS
STOCK
SIZE
NO.
QTY
MATERIAL
DELIVER TO
PRICE
COST
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SUPERMAT, ROLLAMAT, ULTRAMAT, ULTRAMAT GLASS -
CLEAR, EXECUMAT, NON STUDDED, DELUXE ANTI
STATIC, COPOLY
All custom cut mats are non-returnable and will
be cut out of noted material and within 1" of the
proposed dimensions.
APPROVAL SIGNATURE
DATE