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 

 TAXIDERMY 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* QTY

UNIT (CIRCLE WANTED SIZE)

LIQUID FAST SET ________  ________  8 OZ 16 OZ 1 GAL
CLEAR PASTE ________  ________  8 OZ 16 OZ 1 QT
#30 PASTE ________  ________  8 OZ 16 OZ 1 QT
PASTE FILLER ________  ________  8 OZ 16 OZ 1 QT
THIN SET/INJECTABLE ________  ________  6 OZ 12 OZ
SYRINGE & TWO NEEDLES ________  ________       
ULTRA CLEAR COAT ________  ________  12 OZ 24 OZ
QUICK REPAIR PUTTY ________  ________  12 OZ
FISHTOOTH ________  ________  4 OZ
HIDE ADHESIVE ________  ________  1 QT 1 GAL  2 GAL
SEAM & REPAIR PUTTY ________  ________  1 LB 1 QT Unit
BLOODOUT DEGREASER ________  ________  1 QT 1 GAL
WATERBASED HIDE ADHESIVE** ________  ________  1 QT 1 GAL
EAR MAGIC ________  ________  8 OZ 16 OZ 1 QT
FIN MAGIC ________  ________  8 OZ 16 OZ 1 QT
MACHE MAGIC ________  ________  8 OZ 16 OZ

  1 QT     1 GAL

PALETTE KNIFE ________  ________       
*Please refer to the price list or call us for pricing at 800-888-2467.
**The waterbase system is intended for tanned hide applications only.