Epo-Grip Order Form
NEWTON SUPPLY COMPANY INC. 
 13953 S.W. 140 STREET .  MIAMI .  FL.  33186 . 
 (305) 235-6503 .  1-800-888-2467 .  FAX (305) 235-7475 

 HOBBY ORDER FORM

DATE:____________

CUSTOMER INFORMATION:           
                                   

CONTACT PERSON:______________________________________________

COMPANY NAME:________________________________________________

 BILL TO:     ADDRESS:______________________________________________________

                        CITY:_________________________STATE:____________ZIP:____________

PHONE: (____)______-________        FAX: (____)______-__________

                                        
SHIP TO:    ADDRESS:_______________________________________________________

                       CITY:_________________________STATE:____________ZIP:_____________

COMMERCIAL_______           RESIDENTIAL_________

P.O.#_________________ 

PRODUCT       PRICE* QUANTITY

UNIT (CIRCLE WANTED SIZE)
CLEAR PASTE ________  ________  8 OZ 16 OZ 1 QT
#30 PASTE ________  ________  8 OZ 16 OZ 1 QT
MODEL MATRIX ________  ________  8 OZ 16 OZ 1 QT
HOBBY KIT ________  ________  8 OZ units 16 OZ units  
SCRATCH MAGIC ________  ________  4 OZ    
VERSA-FLEX 360 ________  ________       
JUST PLANE CLEAN ________  ________  16 OZ w/small sprayer 1 GALLON  
JUST PLANE CLEAN SPRAYER ________  ________       
PALETTE KNIFE ________  ________       
         
*Please refer to our price list or call us for shipping and additional information at 800-888-2467.