Professional User
Trial Order

Polyprene

Part thermoplastic cement.
100% problem solver.

YES, send me a trial pail of Polyprene. I understand future orders are limited to a 4-pail minimum. One order per address or cardholder. For your safety, we ask you to complete this form and fax it to our address.

FaxBack Order Form 1. Press Print                                 2. Fill out completely                            3. Fax to (913) 851-9700

q  Heavy Brush Grade Polyprene          q  Trowel Grade Polyprene Your Name:  ____________________________  Your Company's Name:  __________________________________________________ Ship to Address:  ________________________________________________________ City/State/ZIP:  _________________________________________________________ Telephone:  ___________________ q                        q  Cardholder Name (if different from above):  ___________________________________ Card Number  __________________________________________________________ Expiration Date:  ____________________ Cardholder Signature:  ____________________________________________________ All orders processed within 24 hours Monday-Friday Offer available only in the continental U.S. Return to Topps Home