Cascade & Teton Order Form Archive

UPI Customer Service
Tel: 1-800-438-6071 Fax:1-888-488-3455
customer-service.us@uniphos.com
Cascade & Teton Order Form

Please note : One form per Purchase Order number.
Date Ordered*

MonthDayYear
Date Ordered
Requested Delivery Date*

MonthDayYear
Requested Date
Purchase Order Number*
Customer Ship to Address
Shipping Contact*

First NameLast Name
Shipping Contact Telephone Number*

Area CodePhone Number
Shipping Contact E-mail*
Shipping Contact Company Name
Shipping Address*

Street Address

Street Address Line 2

City

Zip Code
State
Customer Bill to Address
Billing Address same as Shipping?

YesNo
Billing Contact*

First NameLast Name
Billing Contact Telephone Number*

Area CodePhone Number
Billing Contact E-mail*
example@example.com
Billing Contact Company Name
Billing Address

Street Address

Street Address Line 2

City

Zip Code
State

UPI Customer Service
Tel: 1-800-438-6071 Fax:1-888-488-3455
customer-service.us@uniphone.com
Servicing Distributor For This Order
Multiple Distributors can be selected*

CPS - TimberlandCygnet EnterprisesHelena ChemicalSimplot PartnersTarget Specialty ProductsUnivarVan Diest Supply CompanyWilbur EllisWinfield Solutions
Product, Pack, Volume, Price & Rebate Information


UPI Brand Name	UPI Pack Size	UPI SKU #	PURCHASE ORDER VOLUME	UNIT OF MEASURE	MINIMUM ORDER INCREMENTS	PALLEY QUANTITY
Cascade	2 x 2.5 GAL [5 gallons per case]	6020819	{sku6020819}	GAL	5 GALS	180 GAL
Cascade	250 GAL TOTE	6020167	{sku6020167}	GAL	250 GALS	250 GAL
Teton	2 x 2.5 GAL [5 gallons per case]	6020206	{sku6020206}	GAL	5 GALS	180 GAL
Teton	125 GAL TOTE	6020359	{sku6020359}	GAL	125 GALS	125 GAL
Teton	250 GAL TOTE	6020212	{sku6020212}	GAL	250 GALS	250 GAL

Freight prepaid on pallet quantities only. Customer will be charged freight for all orders less than pallet quantities.

Cascade & Teton Order Form