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Thank you for placing your order with Epoxy.com.  This page is in simple format so you can use this page from your web enabled phone or PDA as well as your computer. You cannot place an order on this page.  To place an order please call Epoxy.com's Ordering Department at 321-206-1833.  They will give you the information that you will need to make out this form.

Epoxy.com Invoice Number:        

Last4 Digits on your Credit Card: 

Epoxy.com Total Invoice Amount:

By checking here, I certify that I have read, understand and agree with Epoxy.com (a division of Epoxy Systems, Inc.) Sales Terms, and I authorize Epoxy Systems, Inc. to charge my credit card indicated above, the amount indicated above. I certify that I am the account holder or otherwise legally authorized to sign for the charges made to this card.

IMPORTANT: We CANNOT PROCESS your order unless all of the information above is completed and the box above is checked.

  The Submit takes a minute or two.  Please be patient.

Please wait for your confirmation page before closing this page.

After you push submit it will take a minute or so to submit. 

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