NOTE:
All orders for concrete via Internet will be on a will call basis until confirmed by dispatch.
Person placing order will be notified by phone or email of confirmed order.
All fields labeled with an asterisk (
*
) are required.
*Customer Name:
*Ordered By :
*Telephone/Pager:
*Delivery Date & Time:
*Delivery Location:
*Job Name/Number :
*Quantity:
YDS.
*Mix (3000, 4000, etc.):
Air
No Air
*Pour Description:
*Desired Spacing of
Trucks (mins):
*Slump:
IN.
Calcium:
1%
2%
Non-Calcium Accelerator:
1%
2%
Fibermesh:
(slump to slump, 4-8, etc.)
Plasticizer:
(slump to slump, 4-8, etc.)
Dye:
Go to
Scofield
for color information.
*Job Directions
(please be precise):
*Email for Confimation:
