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Pipe Wrap Order Form
Be sure to order extra rolls of Pipe Wrap, in case of unexpected emergencies! There are several ways to order Pipe Wrap. You may simply fill out this form and hit the submit button. Or, you can fill out and print the form and mail it to us with a check, money order or your credit card information at the below address. You can also call us at 713-365-0881. Click here to contact us for more information. *Note: Minimum order amount is $100.00

Pipe Wrap Order Form
Name:
Address:
City:
State:
Zip
Phone:
Fax:
E-Mail Address:
Product Selection
Qty.
Total
2" x 4' -- pipe diameters 1/2"- 1"
US$24.99 per roll, $3 ship -- Total $27.99
2" x 6' -- pipe diameters 1"- 1 1/2"
US$34.60 per roll, $3 ship --Total $37.60
2" x 12' -- pipe diameters 1 1/2"- 2 1/2"
US$39.20 per roll, $3 ship -- Total $42.20
4" x 12' -- pipe diameters 2 1/2" & above
US $68.00 per roll, $3 ship -- Total $71.00
5" x 20'-- pipe diameters 5" & above
US $95.00 per roll, $3 ship -- Total 98.00
6" x 25' -- pipe diameters 6" & above
US $116.60 per roll, $3 ship -- Total 119.60
Custom sizes available, minimum quantities may apply.
*see pipe wrap selection guide for multiple roll applications.
Total:
Payment Type
Check Visa M/C Amex
Card #
Exp.

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