Order Online

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 (401) 946-5564 for assistance.

To ensure 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.

"*" indicates required fields

Billing Address

Company*

Address*

Address Line 2

City*

State*

Zip/Postal*

Country

Shipping Address

Same as Billing

Yes

Company*

Address*

Address Line 2

City*

State*

ZIP/Postal Code*

Country*

Contact Information

Name*

First Last

Email*

Phone*

Fax

Account Number

(Found on previous invoice or packing list)

Purchase Order Number

Preferred Method of Shipment

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

Preferred Method of Payment*

(Note: Open Account requires credit references and preapproval)

Credit Card*

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Order Information*

Item

Quantity

Unit of Measure

Comments or Special Instructions

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 the order.

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