Order Form

Please fill out this form completely and press the submit button. All field names in RED are required and must be completed before your order will be accepted for processing. If you have any questions about your order send mail to orders@epoxies.com or call 1-800-EPOXIES (376-9437) for assistance.

To ensure a timely and accurate delivery of your International Shipment, please help us by completing the International Shipment Form. This information will also allow us to comply with all international shipping requirements.

Order Form

Bill to Address

Ship to Address

Contact Information

(Found on previous invoice or packing list)

(Note: We will ship via UPS or Federal Express Ground unless specified otherwise in the US)

Item Quantity Unit of Measure

(Note: Open Account requires credit references and preapproval)

Credit Card Information(Visa or Mastercard)

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Our terms are FOB Cranston RI USA. All Products are made to order and our lead time is approximately 5-7 days after receipt of order.