Distributor/Manufacturing Rep Form First Name(Required) Last Name(Required) Phone Number(Required)Email(Required) I have an existing PO or Quote Number(Required) Yes No Existing Quote or PO Number(Required) If you have an existing Quote or PO Number, please enter any additional information in the box below.Distributor Name(Required) Distributor Email(Required) Is this an Existing VersaPak Customer?(Required) Yes No/Unknown Is there an Old Quote or PO Number that you would like to re-order?(Required) Yes No FOB(Required)What is the old Quote or PO Number?(Required) If you have an old Quote or PO Number, please enter any additional information in the box below.Type of Product(Required)Poly SheetingPoly BagsPoly Bags Size(Required)Poly Bags Quantity(Required)Poly Bags Mil(Required)Sheeting Size(Required)Sheeting Quantity(Required)Sheeting Mil(Required)Upload an order via spreadsheet (optional)Max. file size: 50 MB.Please add any additional information in the box below.Additional Comments or Customizations - ( Please add: Color, Additive, Vents, Printed Centerfold or Single Wound, Shrink, Roll, Carton, etc)(Required) Δ
