UltraTec Products

On-line Order Request Form

Orders can be placed by calling, toll-free, 1-877-805-1330, e-mailing the form below, or faxing us the form results below.
If you would like step-by-step instructions on filling out the form below, call 1-877-805-1330.

BILLING INFORMATIONSHIPPING INFORMATION (If different then Billing)
Company
Contact
Phone
Fax
E-mail
Billing Address
Billing City, State, Zip
Country
Company
Shipping Address
Shipping City, State, Zip
Country

Tax Exemption ID
Purchase Order


BANGBOARDS®:
LENGTH HEIGHT COLOR QTY
1. (1 BANGBOARD®)
2. (1 BANGBOARD®)
3. (1 BANGBOARD®)
4. (1 BANGBOARD®)
5. (1 BANGBOARD®)
6. (1 BANGBOARD®)
7. (1 BANGBOARD®)
8. (1 BANGBOARD®)
SUB TOTAL*:

Payment Options:
Direct Billing
(Invoice will be mailed to you for payment)
Effective June 1, 2009, we will no longer be accepting credit card payments. Sorry for the inconvenience

PRICING SCHEDULE
EACH BOARD
LENGTHHEIGHTPRICE / EACH
10 ft.6 in. $72
12 ft.6 in. $86
14 ft.6 in. $101
16 ft.6 in. $116
18 ft.6 in. $130



10 ft.8 in. $96
12 ft.8 in. $116
14 ft.8 in. $133
16 ft.8 in. $151
18 ft.8 in. $169



10 ft.10 in. $120
12 ft.10 in. $140
14 ft.10 in. $163
16 ft.10 in. $185
18 ft.10 in. $206

WARRANTY INFORMATION

* Price does not include shipping. Applicable taxes apply only to North Dakota customers.

Comments or information about your order - please include how you heard about us:

UltraTec Products, Inc. | 701-483-4800 / 1-877-805-1330 | Fax: 701-483-4801
PO Box 269, Dickinson ND 58602-0269