Order Form

 

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JA Packaging Order Form

Please use this handy order form to record the items and quantities you are purchasing. See Ordering Instructions to find the most convenient way for you to submit your order to JA Packaging.

Phone: (781) 246-1651
Fax:      (781) 245-3321
Mail:    JA Packaging Inc.
             P.O. Box 133
             Wakefield, MA 01880   
e-mail: sales@japackaging.com

Sorry!! Orders shipped to the United States and Canada only.

Bill to: (see below if ship-to is different)
First Name  

Last Name 

Company Name

Address

Address

City        State or Province  

Zip or Postal Code
                                                       

Note: we can not ship to P.O. Boxes

Phone        

Fax

e-mail

May we contact you via e-mail

SKU Description Qty. (# cases)

Need by date

Ship to if different from bill-to (if not type "same"):

First Name  

Last Name 

Company Name

Address

Address

City        State or Province  

Zip or Postal Code

Note: we can not ship to P.O. Boxes