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550 Corporate Center Dr - Raleigh, NC 27607 Phone: 919-859-0470 Fax: 919-859-0106 Toll Free: 800-849-0470 office@commercialpinestraw.com         Thank you for using our online commercial installation order form. This form goes directly to the Spread Crew Coordinator. We will contact you soon concerning your order! Contact Information: Contact Name:  * required Email Address:  * required Mobile Number:  * required Billing Information: Business Name:  * required Business Street Address:  * required Business City, State, Zip:  * required Business Phone:  * required Business Fax: Job Information: Purchase Order #: Jobsite Name:  * required Jobsite Address: Straw Type: None Pine Straw Long Needle Pine Straw Number of Bales Requested: Mulch Type: None Triple Shredded Hardwood Chocolate Russet Red Black Pine Bark Cypress Number of Yards Requested: Trenching: Yes No Special Instructions: Expected Date of Completion: By typing your name below, you agree to pay Commercial Pine Straw, LLC for all purchases, deliveries, and labor relating to the above job. This permits Commercial Pine Straw, LLC, as provided by applicable state law, to take possession of the merchandise or file pertinent mechanics' liens if you do not pay said debt in full. In the event Commercial Pine Straw, LLC must take legal action in order to collect any past due money owed, Commercial Pine Straw, LLC shall be entitled to recover their attorney's fees and costs, as well as a finance charge with a monthly periodic rate of 1.5% (corresponding annual percentage rate of 18%) to all past due amounts (any invoice 31 days or older). Type Name of Authorized Representative:  * required