Hardy-Graham Supplies:
Entire Container
Supplies Fasteners Only

Please complete the form below for all orders. Describe your intended application in detail so we can respond more accurately with specific data and information.
 

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*Name				*Title
*Company
*Address				(no PO Box)
*City
*State/Province				*Zip Code				*Country
*Telephone				Fax				Email
[* required fields]

Commercial    Inter/Intra Plant    Military    GSA    Export    Trade Show/Exhibit
Retro-fit existing container    Other:

Box/Crate/Case   Pallet Ring    Fruit/Vegetable Bin    Bulk/Liquid/Granular Bin

Full Knock-Down/Modular:
	Full:		Yes No			Other:
	Modular:		Yes No

Container Purpose/Use (check all that apply):
	Returnable/Reusable		Reduce Storage/Shipment Cube
	Inspection Access		Simplify Loading
	Reduce Damages		Security Capability/Reduce Theft
	Other

Item/Product Loaded:
	Weight lbs/kgs
	Parts    Electronics    Solid    Powder    Liquid    Other

Container Dimensions:
	Inside    Length " mm    x   Width " mm    x   Height " mm
	Outside  Length " mm    x   Width " mm    x   Height " mm

Stacking Capability: Yes No     How Many High     Storage:  Inside Outside

Construction Material (check all that apply):
	Plywood      Hardwood      Cleated      Slatted
	Plastic      OSB/Particleboard      Metal      Other

Material Thickness/Additional Customer Data:

Pallet Entry (check all that apply):
	2 Way  4 Way      Via: Fork Lift    Pallet Truck    Sling

Quantity Used Per:
	/Week         /Month         /Quarter       /Year

Present Container Data:

Other Comments/Needs: