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Customer Information
Order Date:
Ordered By:
Phone:    Ext:
Customer ID:
Customer PO#:
Billing Information
Company Name:
Address:
Address:
City:
State:
Zip:
New Customer:     Yes No
New customers must fax/e-mail resale certificate to 877-547-8675 / jdelrosso@gosalt.com
or tax will not be refunded to orders for NY, NJ and PA
Package Deliveries
Full Truckloads (T/L) are 16-20 pallets
Half Truckloads (1/2 T/L) are 8-10 pallets
Less Than Truckloads (LTL) are 1-7 pallets
Bulk Dry Material
NY min 35 tons
All other states min 25 tons
Liquid Material
Full T/L 4,500 gallons
Half T/L 2,500 gallons
(Minimum order 2,500 gallons)

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