Please provide the following contact information:  After Each Entry, please use the TAB KEY ONLY or your mouse to move to the next section DO NOT USE ENTER

First Name
Last Name
Middle Initial
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone & Ext
FAX
E-mail
URL

Is the Shipping address same as above?

Yes    No

If No, Please provide shipping address:

Select any of the following options that apply:

Please have a representative call me
I want to Buy Bulk Bags
I want to Sell Bulk Bags
I want to buy and sell Bulk Bags

Current quantity requested (Minimum 200)

Quantity needed per month:

Please select Type of Bulk Bag requested

Circular Woven
U-panel

(buyer or seller) Looking for or have new or used bags?

  Please Choose New Used New or Used

Color of Bulk Bag:  Please Choose White Black Tan Chromique Blue Other

(buyer or seller) Does the Bulk Bag or can the Bulk Bag have markings on it? Please Choose Yes No

(seller) If yes, please explain what it is, the size and locations of the markings:

What type of opening? Please Choose Full Open Top Spout Duffle Open Top

What type of bottom? Please Choose Spout Closed Full discharge Other

Please enter the approximate size of Bulk Bag (LxWxH)

What type of Straps do you need/have? Please Choose Lift Loop Other

What  length of loop opening in inches do you need/have

(seller or buyer), please provide the contents of the bulk bag:

(buyer)What is the density of the contents (lbs. per square foot)?

(buyer)What is the total filled weight needed the bulk bag?

(seller)What is the Safe working load of the bulk bag?

(seller or buyer), is a liner needed or present in the Bulk Bag ? Please Choose Yes No

(seller)If yes, was the liner pulled?

(seller), can you provide a MSDS (Materials Safety Data Sheet)?  Please Choose Yes No

(buyer or seller)Are you shipping products or using the Bulk Bags for storage?

Please enter your current supplier:

Additional comments :