Overstock & Discontinued Items Order Form
Place Order Request-
*We will contact you with the order total and to arrange payment and shipping.
*You will need to provide your name, Country, State and either phone, email or fax to place your order.
*
VersaCartSystems,
®
Inc
will not sell or distribute your personal information to any other parties.
Company
:
Contact Name:
Email
:
Phone:
Fax:
Country:
USA
Africa
Algeria
Angola
Argentina
Australia
Azores
Bahrain
Bangladesh
Belgium
Belize (British Honduras)
Benin (Dahomey)
Bermuda
Bolivia
Brazil
Bulgaria
Burma
Cameroon
Canada
Canary Islands
Cape Verde
Chile
China
Cocos Islands
Colombia
Congo
Congo (Zaire)
Costa Rica
Croatia
Cuba
Cyprus
Denmark
Djibouti
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Falkland Islands
Far East
Fiji
France
French Guiana
Gabon
Gambia
Germany
Ghana (Gold Coast)
Gibraltar
Greece
Guatemala
Guinea
Guyana (British Guiana)
Haiti
Honduras
Honduras (Spanish Honduras)
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel (Palestine)
Italy
Ivory Coast
Jamaica
Japan
Kenya
Kuwait
Lebanon
Liberia
Madagascar
Madeira
Malaysia
Malta
Mauritius
Mediterranean Ports
Mexico
Monaco
Morocco
Mozambique
Namibia (South-West Africa)
Netherlands
New Caledonia
New Zealand
Nicaragua
Nigeria
North Atlantic
Norway
Pakistan
Panama
Papua New Guinea
Peru
Philippines
Poland
Portugal
Puerto Rico
Rhodesia
Round Voyage
Russia
Saint Pierre And Miquelon
Samoa
Saudi Arabia
Senegal
Serbia & Montenegro
Seychelles
Sharjah
Sierra Leone
Singapore
Solomon Islands
Somalia
South Africa
South America
South Georgia
Spain
Sri Lanka (Ceylon)
St Helena
Sudan
Suriname (Dutch Guiana)
Sweden
Tahiti
Taiwan
Tanzania (Tanganyika)
Thailand
Togo
Tunisia
Turkey
Ukraine
United Kingdom
Uruguay
USA
Venezuela
Vietnam
West Indies
Yemen
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*only required for USA
Affiliation:
None
ACE
Do It Best
True Value
Other
How did you hear about
VersaCartSystems,® Inc
?
Web Search - Google
Web Search - Yahoo
Web Search - MSN
Web Search - AOL
Web Search - Other
Magazine Ad
Saw Carts at a Store
Trade Show
Sales Call
Friend
Would you like your company logo printed on the carts and/or baskets?
Yes
No
Select the items you would like to order:
Discontinued Shopping Carts, Baskets & Accessories
Select Item:
Select QTY:
Kiddy EZcart® with Basket - Dark Green - $59.00
EZcart® Interior Corral 501-301 - $69.00
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Kiddy EZcart® with Basket - Dark Green - $59.00
EZcart® Interior Corral 501-301 - $69.00
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Kiddy EZcart® with Basket - Dark Green - $59.00
EZcart® Interior Corral 501-301 - $69.00
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Kiddy EZcart® with Basket - Dark Green - $59.00
EZcart® Interior Corral 501-301 - $69.00
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Used Shopping Carts & Utility Carts -
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Special Requests / Other Comments:
Submit Order Request
*
VersaCartSystems,
®
Inc
will not sell or distribute your personal information to any other parties.
Copyright
©
2008 VersaCartSystems,
®
Inc.
EZcart
®
and EZtote
®
are registered trademarks
VersaCartSystems,
®
Inc. is a trademark of VersaCartSystems,
®
Inc., a Colorado Corporation
All rights reserved
