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ORDER FORM

Please use this page to order anything on our site that does not have a direct link to our shopping cart.

It is very important that your email address is correct. You will receive a confirmation email from our Order Processing Department, no later than 24 hours after you submit purchase order.

If you would like to be contacted before we email you an order confirmation, please specify on the Notes/Comments box. A representative will contact you before processing your order to determine if you would like us to proceed.

Unless otherwise requested, your order will be shipped within 2 - 3 days from the day we send you a confirmation of your purchase. Shipping and handling charges will be added as well as any adjustments that need to be made in the case of inaccurate submissions of price for any ordered items.

Once your order ships, you will receive an email with tracking number.


Please fill out completely. Required fields are marked with an asterisk ( * )

*First Name:
*Last Name:
Company:
Title:
*Address 1:
Address 2:
*City:
*State/Province:
*Zip Code:
*Country:
*Telephone Number:
Ext
Fax Number:
*Email Address:
Notes/Comments:
   


QUANTITY
ITEM DESCRIPTION
PART NUMBER
PRICE
TOTAL
 
 
SUBTOTAL
CA Residents MUST add Sales Tax   
 
 

PAYMENT INFORMATION    
*Card Type: Mastercard
Visa
Discover
*Name on Card:
*Account Number:
*Expiration Date:
*CVV2:

Will Call Service guidelines

Check box to agree to our TERMS AND CONDITIONS
      (You must agree for us to process your order.)

Dear Valued Customer,

In an effort to offset the costs of labor required to repackage less than case quantity orders, all orders under $45.00 will be charged a $5.75 service charge.

This charge is in addition to the cost to ship your order and any additional fees that may be associated with your order.

This will appear as a line item denoted as:
RPS - Repackaging Service.

As of September 8, 2014, IMPAK has updated its "Freight On Customer Account" policy for UPS shipments. We can accept prepaid UPS labels provided via fax to 323-389-2200 or email to requests@sorbentsystems.com or we can use UPS on "prepay & add" freight terms - we do not ship using Customer UPS Account information. Thank your for your understanding during this transition.

Regards,
IMPAK Corporation


Repackaging Service




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