PARKING ORDER FORM

Phone:626-642-1038
Toll Free: 877-599-3779   		Email:   Sales@SymmetryCo.com
Website:www.symmetryco.com
FAX: 626-316-7223 Mailing Add: P.O.BOX 503,Alhambra,CA.91802
Name: Date:
Address: Email Address:
City:                           State:                       Zip: Phone No.: 

Item #

Description

Quantity

UnitPrice

Shipping

Second

Amount

PB-01

36" (L) Complex Parking Block

 

$45

$15

$15

 

 O Yellow  O Gray O Turquoise

 

 

 

 

 

 

 O Black  O Orange O Green

 

 

 

 

 

PB-02

 36" (L) Complex Parking Block  

 

$35

$14

$14

 

O Yellow  O Orange O Turquoise  

 

 

PB-03

21" (L) Complex Parking Block

 

$35

$12

$12

 

O Yellow  O Orange O Turquoise  

 

 

PB-03

O Black  

$30

$12

$12

 

CG-01

40" (L) Mild PVC Corner Guard      

 

$24

$8

$8

 

 

3 yellow stripes on black base

 

 

 

 

 

SP-01

Complex Plastomer Speed Bump

 

$46/yd

$20

$20

 

Black/Turg./Orange/Yellow Stripe

SP-02

Complex E.P.D.M Speed Bump  

 

$82/yd

$20

$20

 

 

Color:  Black/Yellow Stripe

 

 

 

 

 

TP-01

Polyurethane Traffic Post Ø3 x 30"

 

$80

$20

$20

 

 

Polyurethane Traffic Post Ø3 x 18"

$70

 $15

$15 

 

Color: Neon Orange

 

 

BT-1212A PVC Braille Tile 12"x12"x0.3"(Thick)     

$10

$6

$6
BT-1212B PVC Braille Tile 12"x12"x0.3"(Thick)     

 

$10

$6

$6

 

Installation Accessories
Silka Fast Setting Epoxy Bond(Caulk Gun) 

$15

$5 $6
Anchor 6"x Ø 5/8" Anchor with hex sleeve $1 $4 $2
Bolt 8"x Ø 1/2" Bolts, washer, nut $1 $4 $2
Bits Drill Bits, Ø 11/16" $5 $4 $2
Bits Drill Bits, Ø 11/20" $5 $4 $2

Payment  

Sub Total: 

 

1. By Cash to Symmetry Company Shipping/Handling  
2. By Check, Cashier's Check, Money Order to Symmetry Company CA Sales Tax 8.75%
3.By Credit Card  O VISA   O Master  O Discover Total: 
Card No.
Valid Date (MM/YY):
Print Name:      
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