Ice Bag Program Order Form

Please fill out the form below. Once your infomation is received, a salesperson will contact you via e-mail or telephone. Thanks for your interest in Vivian International.

2009 Price List (Priced per thousand)
Model	Wt. Per M	5,000	10,000	15,000	25,000
107WP 7 lb. Bag .0015 mil. 10"x20"	26 lbs.	$76.42	$70.54	$65.60	$61.13
108WPW 8 lb. Bag .0015 mil. 11"x19"	30 lbs.	$83.12	$76.42	$71.24	$66.49
110WP 10 lb. Bag .0018 mil. 12"x19"	35 lbs.	$106.83	$98.62	$91.57	$85.47
For orders in excess of 25,000 call for quote.

Click Here for a Print Version of the Order Form

Contact Info:

Name:
Phone:

Fax:
Email:

I am a returning customer and wish to reorder same as last year.

Please enter my order for the following stock bags:

Model #:
Quantity:

	Please check if you desire special imprint.
	Vivian has my name plate. Please use same.

Special Imprint to Read: (Optional)
Name:
Address:
City:
State:
Zip:
Net Weight:

Invoice to:
Company Name:
Address:
City:
State:
Zip:

Shipping Address: (if different from invoice address)
Company Name:
Address:
City:
State:
Zip:

Payment/Delivery:

If you do not currently have an open account with us, please indicate if you would prefer to have the merchandise sent out on a C.O.D. basis or check in advance. If you select to send a check in advance, and you want your bags specially printed, please enclose check with order amount of bags you ordered. We will contact you after the bags have been manufactured to let you know how many were actually made and whether you owe us an additional amount if an excess was manufactured or if we owe a refund if bags were run short. All orders will be shipped freight collect.

Comments:

A representative will contact you upon receipt of your order.

Vivco Ice Machines ®
2931 High Ridge Road | St. Louis, MO 63049
Call toll free: 877-325-9517 or 877-353-8086
Phone: 636- 343-9118 | Fax: 636-326-1982