Commercial Landscape Supply Order Form

Call 800-635-8686 if you need assistance or send us a e-mail: orders@clscatalog.com

Fill out the following information:

Customer Information
Name/Contact (include last name):
CLS Number (if applicable):
Email:		Email Receipt?
Street:
City:
State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming	Tax Rate: %
Zip Code:
Country:	(US) United States
Phone:
Fax:
Shipping Information
Same as Above -or- Pickup at site
Ship To:
Attention:
Street:
City:
State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code:
Country:	(US) United States
Shipping Method:	Select Pickup item at CLS Site UPS 2nd Day Air UPS 2nd Day Air AM UPS 3 Day Select UPS Ground UPS Next Day Air UPS Next Day Air Early AM UPS Next Day Air Saver	View shipping prices
Phone Number:
Special Instructions:
Payment Information
Pay by Credit Card/Telecheck/Pay at site
Pay by Credit Card Credit Card: MasterCard Visa Discover American Express CLS Charge Name on Card (Include First & Last Name on Card): Card Number: Expiration: January February March April May June July August September October November December 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
Pay by Telecheck Customer's Drivers License Number and State: Customer's Check Number: Customer's Bank Name: Customer's Bank's City, State and Zip Code: Bank Routing Number (9 digits between |: and |:): |: |: Bank Account Number (8 digits before ||:): ||: I authorize CrossCheck to duplicate the preceeding information into a bank draft form. I understand that I will receive a check authorization notice from my financial instituation, notifying me that a bank draft has been issued on my behalf for said purchase. I will retain my original check for my record of the transaction. 09/09/10 12:09:13 I agree
Pay at site Local customers may pay for items ordered when merchandise is picked up.
Pay by CLS Charge (for those with CLS accounts only)
CLS Charge Number:
Comments
No Saturday Deliveries