Order Form

E. Beaver & Co. - Order Form
Please provide the following information. Items marked with an asterisk (*) are required. A sales associate will contact you for any missing information.

C O N T A C T I N F O
* Name
Title
* Company
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
* Phone
Fax
E-mail

B I L L I N G I N F O
Credit Card
Cardholder Name
Security Code		click here for Security Code Help
Card Number
Expiration Date

S H I P P I N G I N F O
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Please provide the following order information:

BEER SHIPPER

	Order Quantity		Minimum Order		D e s c r i p t i o n			PRICE EACH*
								50	100	250	500
					12 Bottle Pulp Beer Shipper			3.99	3.79	3.59	3.49

UNIVERSAL LAY-FLATS
	Order Quantity			Minimum Order	D e s c r i p t i o n						PRICE * EACH
				30	3 bottle Universal Lay-Flat Shipper						4.65
				20	6 bottle Universal Lay-Flat Shipper						6.95
				12	12 bottle Universal Lay-Flat Shipper						10.95

UNIVERSAL LAY-FLAT PARTY PAKS
PARTY PAK Assortment Packages help you take advantage of UPS shipping requirements AND save you money!	Order Quantity			Package	I n c l u d e s						PRICE * EACH
				#1	4 each of the 3 bottle Universal Lay-Flat shippers 4 each of the 6 bottle Universal Lay-Flat shippers						49.95
				#2	4 each of the 12 bottle Universal Lay-Flat shippers						49.95
				#3	24 each of the 750 ml single bottle shippers						70.80
				#4	24 each of the magnum single bottle shippers						94.80

PULP PAKS
	Order Quantity			Minimum Order	D e s c r i p t i o n	P R I C E *
						1-24		25-49	50-99	100-499	100
				1	1 bottle Pulp Pak shipper	2.25		2.07	1.95	1.85	CALL
				1	2 bottle Pulp Pak shipper	3.20		2.89	2.79	2.69	CALL
				1	3 bottle Pulp Pak shipper	3.95		3.70	3.45	3.25	CALL
				1	4 bottle Pulp Pak shipper	4.64		4.49	4.25	3.95	CALL
				1	6 bottle Pulp Pak shipper	5.45		4.95	4.85	4.65	CALL
				1	12 bottle Pulp Pak shipper	8.09		7.75	7.40	7.25	CALL

REPAKS
	Order Quantity			Minimum Order	D e s c r i p t i o n			P R I C E *
								50	100	500	1000+
					6 bottle RePak shipper			3.95	3.25	2.59	CALL
					12 bottle RePak shipper			4.95	4.35	2.95	CALL

STAND-UPS
	Order Quantity	Minimum Order			D e s c r i p t i o n		P R I C E *
							1-49	50-99	100-249	250-499	500+
				1	Single Universal Stand-up Shipper		3.25	2.95	2.75	2.25	2.19
				1	2 Bottle Universal Stand-up Shipper		4.25	3.95	3.75	3.50	3.25
				1	3 Bottle Universal Stand-up Shipper		5.25	4.95	4.50	4.25	3.95
				1	4 Bottle Universal Stand-up Shipper		5.95	5.75	5.45	5.25	4.95
				1	6 Bottle Universal Stand-up Shipper		8.45	7.95	7.50	7.25	6.95
				1	12 Bottle 750ml Stand-up Regular		10.50	9.95	9.50	8.95	8.75
				1	12 Bottle Universal Stand-up Shipper		11.95	10.95	10.50	9.95	6.25
				1	Single Magnum Stand-up Shipper		4.95	3.95	3.79	3.25	2.95
				1	3 Bottle Magnum Stand-up Shipper		8.50	7.95	7.25	6.95	6.75
				1	6 Bottle Magnum Stand-up Shipper		16.95	15.95	14.95	13.95	12.95
				1	Double Magnum Stand-up Shipper		13.75	12.75	11.95	11.50	10.95
				1	6 liter - Imperial Stand-up Shipper		21.95	19.95	17.95	16.95	15.95

TOTES
	Order Quantity			Minimum Order	D e s c r i p t i o n			P R I C E *
								20-99	100-199	200-399	400+
				20	3 bottle Tote			2.29	1.99	1.69	1.59
				20	6 bottle Tote			3.09	2.89	2.49	2.39

COOL PAKS
	Order Quantity			D e s c r i p t i o n						P R I C E *
										1-10	10 +
				Cool Pak						7.95	6.95

GIFT BOXES