ROCK SOLID, INC.

N5315 McKenna Road

Warrens, WI 54666

PHONE: (608) 378-3075

TOLL FREE:  (800) 364-9163

FAX:  (608) 378-3096

Email: rock.solid@sbcglobal.net

           

 

 ORDER FORM

 

Company Name:

 

Ship To:

 

Address:

 

Address:

 

City, State, Zip

 

City, State, Zip

 

Telephone:

 

Contact Person:

 

Fax:

 

Job Name / PO#:

 

 

Payment Method:

 

 

 

 

 

Master Card or Visa

 

On Account

 

COD (Add’l $7.50  Charge)

 

Credit Card #

 

Exp mm/yy

 

 

 

Qty

Material

C=Corian

G=Gibraltar

Style

Color

Metal Accent

See Chart Below

3=Bright Brass

26D=Brushed Chrome

BB=Brushed or Burnished Brass

26=Chrome

Unit Price

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

We will fax you a confirmation of your order including shipping charges.

 

Metal Accents

 

Pulls & Knobs Style

Metal Accents Available

123

Bright Brass /  Chrome /  Brushed Brass /  Brushed Chrome

136 137 139

Bright Brass /  Chrome /  Burnished Brass /  Brushed Chrome

1030 1035 1096

Bright Brass /  Chrome /  Burnished Brass /  Brushed Chrome

1130 1135 1196

Bright Brass /  Chrome /  Burnished Brass /  Brushed Chrome

1230 1235 1296

Bright Brass /  Chrome