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If you are an existing customer and would like to re-order product, please complete and submit this form.
If you have any questions, feel free to call us at 187-PUFFYUSA.
Company Information:
Date:
*
+
Due Date:
*
+
Preferred Shipper:
🛈
Company:
*
PO #:
Contact Name:
Phone:
*
🛈
Address:
*
City:
*
State:
*
Zip Code:
*
Email:
*
Ship to (if different from above):
Company:
Phone:
🛈
Address:
City:
State:
Zip Code:
Order Details:
Quantity of Bags
:
*
Type:
*
Standard Peanut
Marshmallow Peanut
Custom
Size:
*
12 Cubic Ft. Bags
20 Cubic Ft. Bags
Quantity of Bags
:
Type:
Standard Peanut
Marshmallow Peanut
Custom
Size:
12 Cubic Ft. Bags
20 Cubic Ft. Bags
How would you like your invoice sent?
*
To mailing address
Email address
Email to send invoice (if selected):
Comments/Special Instructions:
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