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Welcome to Eric Johnson Enterprises, Inc.
 
Carpet Order Form

CARPET INFORMATION
Carpet Manufacturer:
Product Name:
Product #:
Color Name:
Color #:
Broadloom (12' Width)
Length of Roll Required:
Total Sq. Yds. Required:
Lees Wet Set Adhesive
for Unibond Backed Carpet
(4 gal. pail = approx. 35 Sq. yds)
# of pails required for project:
Carpet Tile:
Carpet Tile Sq. Yds Required:
Lees Pressure Sensitive Adhesive
for 18" x 18" Carpet Tiles.
(4 gal. pail = approx. 160 Sq. yds)
# of pails required for project:

BILLING INFO
* Customer Purchase Order#:
* Customer Name:
Address #1:
Address #2:
City:
State:
Zip:

* Phone #:
Fax #:
* Email Address:

SHIPPING INFO
Shipping Address Name:
c/o Shipping Address Name:
Sidemark:
Street Address:
City:
State:
Zip:
Phone #:
Fax#:

Freight Carrier Desired:

Prepay and Add Freight to Invoice:YES   NO

Freight Collect:YES   NO

State Sales Tax Exemption Certificate:YES   NO

* required fields- need to be filled out before you submit 


commercial carpeting

 For excellent values, please review our associate sites:
iCarpetiles.com and iCarpeting.com

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