Credit-Card Delivery Order Form
Click here to apply for a Thomas Building Center Account
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Denotes information required to be submitted
Contact Information
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Account Name:
Address:
City:
State:
Zip:
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Contact Number:
Phone
Pager
Fax
Cell
*
E-mail:
Item Descriptions
Item Description
Quantity
If you have more items to list please list them in the box below. Please include the quantity next to your order item separated by a semicolon.
Example:
2x4x12 DF 2 & Btr;15 ea.
Delivery Information
Date Needed:
Time Needed:
While Thomas Building Center will do everything possible to complete your order by your requirements, this is not a confirmation or a guarantee that your order will be available when you specify. Please call to confirm or check box
and your salesman or the truck dispatcher will call to confirm your order.
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Job Site Address:
City:
Job Contact Number:
Phone
Pager
Fax
Cell
*
Credit Card Information
I would prefer to give credit card information over the phone. Please call me.
Card Number:
MasterCard
VISA
Discover
Card Expires:
Everthing below is the same as contact information above (except as noted).
Name:
Address:
City:
State:
Zip:
If you have additional information you would like to add, or if you would like to comment on our service, please do so in the box below.