Secure Mylar Ducting Order Form
If You Wish To Use Different Method of Payment Please Call Us At 303-257-8056
Credit Card Order Form
Billing Information
Name on Credit Card
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Address
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City
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State
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Zip Code
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Country
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Type of Credit Card
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Visa
Master Card
Credit Card Number
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Expiration Date (Example: 01-12)
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CVC Number
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Phone Number
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Alternate Phone Number
Shipping Address
Name
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Address
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City
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State
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Zip Code
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Country
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Phone Number
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Email Address
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Alternate Phone Number
What Size of Mylar Ducting You Want to Purchase
*
None
4” x 25’ Mylar Ducting
6” x 25’ Mylar Ducting
8” x 25’ Mylar Ducting
10” x 25’ Mylar Ducting
12” x 25’ Mylar Ducting
12” x 25’ Mylar Ducting HD
14” x 25’ Mylar Ducting
16” x 25’ Mylar Ducting
16” x 25’ Mylar Ducting HD
18” x 25’ Mylar Ducting
18” x 25’ Mylar Ducting HD
20” x 25’ Mylar Ducting
20” x 25’ Mylar Ducting HD
24” x 25’ Mylar Ducting
How Many Sections of Mylar Ducting Do You Need? Please Enter Number of Sections Under Number of Sections.
Number of Sections
None
1 Section
2 Sections
3 Sections
4 Sections
5 Sections
6 Sections
7 Sections
8 Sections
9 Sections
10 Sections
11 Sections
12 Sections
How Many Cases of Mylar Ducting Do You Need? Please Enter Number of Cases Under Number of Cases.
Number of Cases
None
1 Case
2 Cases
3 Cases
4 Cases
5 Cases
6 Cases
7 Cases
8 Cases
9 Cases
10 Cases
11 Cases
12 Cases
If You Need Another Size and Quantity of Mylar Ducting Please Enter the Size and Number of Sections You Need Below. If You Want Cases Please Enter the Size and Number of Cases You Need Below
What Size Mylar Ducting You Want to Purchase (Optional)
None
4” x 25’ Mylar Ducting
6” x 25’ Mylar Ducting
8” x 25’ Mylar Ducting
10” x 25’ Mylar Ducting
12” x 25’ Mylar Ducting
12” x 25’ Mylar Ducting HD
14” x 25’ Mylar Ducting
16” x 25’ Mylar Ducting
16” x 25’ Mylar Ducting HD
18” x 25’ Mylar Ducting
18” x 25’ Mylar Ducting HD
20” x 25’ Mylar Ducting
20” x 25’ Mylar Ducting HD
24” x 25’ Mylar Ducting
How Many Sections of Mylar Ducting Do You Need? Please Enter Number of Sections Under Number of Sections.
Number of Sections (Optional)
None
1 Section
2 Sections
3 Sections
4 Sections
5 Sections
6 Sections
7 Sections
8 Sections
9 Sections
10 Sections
11 Sections
12 Sections
How Many Cases of Mylar Ducting Do You Need? Please Enter Number of Cases Under Number of Cases.
Number of Cases (Optional)
None
1 Case
2 Cases
3 Cases
4 Cases
5 Cases
6 Cases
7 Cases
8 Cases
9 Cases
10 Cases
11 Cases
12 Cases
Special Instructions or Item Number
Do You Need Clamps. Please Enter the Size and Number of Clamps You Need Below.
Quick Release Worm Gear Duct Clamps
None
4"
6"
8”
DHQWC12 12”/Max 12 1/4”
DHQWC16 16”/Max 16 1/4”
DHQWC18 18"/Max 18 1/2”
DHQWC20 20"/Max 21 1/4”
24" Clamp
None
1 24" Clamp
2 24" Clamps
3 24" Clamps
4 24" Clamps
5 24" Clamps
6 24" Clamps
7 24" Clamps
8 24" Clamps
9 24" Clamps
10 24" Clamps
11 24" Clamps
12 24" Clamps
Quanity of Clamps
0
1
2
3
4
5
6
7
8
9
10
11
12
You Agree to the Terms and Conditions for the Purchase of Mylar Ducting at www.MylarDucting.com
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Yes
No
Security Code
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