Submit an order online below or
download the printable version
for faxing!
Customer:
Contact:
Attention:
Purchase Order Number:
Office / Cell phone:
Today's Date:
Date Required:
Pick Up:
Delivery
AM
PM
SDR35
SDR35
SDR35
SCH40
SCH40
S & D
S & D
PE
Size:
(check boxes required)
4
6
8
4
6
4
6
4
Pallet Footage
630LF
520LF
390LF
480LF
200LF
900LF
390LF
100/250LF
Solid Pipe Pallet Quantities
SDR35
SCH40
S & D
PE Drain
Solid Pipe Less Pallet Quantity
SDR35
SCH40
S & D
PE Drain
Perf Pipe Pallet Quantities
SDR35
SCH40
S & D
PE Drain
Perf Pipe Less Pallet Quantity
SDR35
SCH40
S & D
PE Drain
Note: This form can be used for ordering multiple types of pipe, but only 1 fitting option.
*Please submit a separate form for each type of fitting needed.
*Fitting Type:
SDR35
SCH40
S & D
PE Drain
Size:
1¼
1½
2
2½
3
4
6
8
90 Bend BB
90 Bend BS
45 Bend BB
45 Bend BS
22 Bend BB
22 Bend BS
Tee
Tee Wye
Coupling
C O Cap
C O Plug
SCR Plug
SCH/S&D ADPT
PVC Reducer
Misc. Items
Rubber Coupling
PVC/PVC
PVC/AC
PVC/Clay
PVC/Conc
4x4
4x4
4x4
4x4
6x4
6x4
6x4
6x4
6x6
6x6
6x6
6x6
8x6
8x6
8x6
N/A
8x8
8x8
8x8
8x8
Other Size
Quantity
DI Swr Saddle
Romac CB4
Romac CB6
14.40 Strap
25.80 Strap
Rubber Saddle
DWF 4 Tee
DWF 4 Wye
DWF 6 Tee
DWF 6 Wye
Filters
Charcoal
Zabel 1801
Zabel A300
Flow Adjuster
Green
Gray
Dial A Flow
Silt Fence
PVC Cement
½ Pint
Pint
Quart
Hydraulic Cement
PVC Cleaner
½ Pint
Pint
Quart
Snow Fence
Lubricant
8 oz. Tube
Quart
Gallon
Marking Tape
Blue/Water
Green/Swr
Yellow/Gas
Red/Elec
Marking Paint
Orange
Blue
White
Yellow
Filter Fabric
360 x 3'
360 x 4'
360 x 12'
360 x 15'
Notes
*Please enter your e-mail address:
All Material Pick Up and Deliveries are Subject to Stock Availability At the Time of Order
.......................
Putnam Pipe Corp. - all rights reserved 2009
90 Elm Street, Hopkinton MA 01748 | 508-435-3090| FAX: 508 435-5372
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