***ALL SALES FINAL.  PRODUCT CANNOT BE RETURNED ONCE SHIPPED TO YOUR LOCATION.  
                   
      Store #:  New Store: Remodel:
  Ship To:                                                                  Bill To:  
  Address: Address:
  City, ST, Zip: City, ST, Zip:
  Phone: Phone:
  Fax Number: Email Address:
  Date Ordered By P.O. Number RED GRAY MUSHROOM Delivery Date Requested
  QUARRY VCT QUARRY VCT QUARRY VCT
  Prod # 1 BOX OF BASE = 72 LN FT             Price Total
  BASE SANITARY COVE BASE  (72 ln ft - per box - must be ordered by the box) $3.50 (ln. ft.)
  INSIDE 90* Prefabricated Inside Corner
  OUTSIDE 90* Prefabricated Outside Corner 
  INSIDE 135* Prefabricated 135 degree inside corner 
  OUSTIDE 135* Prefabricated 135 degree outside corner 
  **Please note:  You will need to order 2 additional splicers for each corner (see below), as they are not included in the price of $3.50/ln ft.**
  FOR PARTS ORDERS  OR EXTRAS ONLY RED GRAY MUSHROOM Parts Cost
  (R) END Right End Cap 
  (L) END Left End Cap 
  SPL Joint Connector 
  BUT Button Covers (Quantities of 100 per box of base)
  * If you are NOT the Contractor, please provide the Contractor's contact information             Sub-Total
  CONTRACTOR CONTACT:              Shipping TBD
  Address, City, St, Zip:   TOTAL
     Phone No: