Phone, Mail Or Fax To:
LA Packaging
24895 East La Palma Ave.
Yorba Linda, Ca 92887
Telephone: 714-694-0202
Facsimile: 714-694-0400
Customer ID #  
Purchase Order #  
Resale Tax ID #  
  C.O.D.(Add $ 7.00)
  Check Enclosed
  Visa/Mastercard/American Express

IMPORTANT:If placing order by credit
card, please see 2nd sheet for details. Faxed
or mailed CC orders will not be accepted
without a signature.

  New Customer
  Existing Customer
  New Contact
  New Address
  New Phone #
  UPS Next Day -
  UPS 2nd Day -
  UPS Ground -
  FedEx -
Other-please specify.

Business Name Business Name
Address 1 Address 1
City/State/Zip Address 2
Contact Person City/State/Zip
Phone Fax Contact Person
E-mail Address Phone Fax

PN/Item # Qty. Item Description Color/Size
Price Each
Item Total
Total Order Amount $
California residents add applicable state sales tax $
Grand Total Of Order (appropriate shipping will be added depending upon method and weight of shipment) $

Terms And Conditions
All prices listed on this site are for individual items. Package prices include all items listed in the package.
All orders are F.O.B. Factory, Yorba Linda, Ca
Prices are subject to change without notice.
All bulk orders must be confirmed with our sales department in advance of order.
If faxing or mailing your order, please fill out Credit Card information block below and include it with your order. All mailed or faxed C/C orders will not be accepted unless this section of form is completed.
All returned checks are subject to a $ 20.00 fee.
Customer is responsible for all freight charges on refused and returned orders.
Acceptable means of payment are Cash, Personal or Business Check, Money Order or similar instrument, Wire Transfer and Credit Card.
All damages must be reported to carrier within 24 hours of acceptance of package.
No returns will be accepted at our factory without an RMA # on package.
All unaccepted/refused deliveries are subject to a 15% restocking fee and freight costs to/from consignee.
All returned merchandise must be in saleable condition. Customer will be issued product credit only for used product returned to us.

Credit Card Information
Name On Card:  
Card Number:  
Expiration Date:  
Billing Address:  
3 Digit Security Code
(found on back of credit card):

Cardmember Signature: X______________________________________________________

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Loritz & Associates Inc.
© 2002 Loritz & Associates Inc. All rights reserved.