Miller Bros. Paint & Decorating ~ Since 1910 ~



 

date:______ / ______ / __________



 

fill in SHIP TO to if different than below

 

complete only if necessary

       
bill to: __________________________ ship to: __________________________
address: __________________________ address __________________________
city: __________________________ address __________________________
st/zip: __________________________ city: __________________________
e-mail: ____________@____________ st/zip: __________________________
phone: (       )  ________ - _________    
   

 
Please indicate Credit Card payment preference:    
 Amex  Visa  MC  Discover

Money Order

credit card #    
                               

Money Order payable to: Miller Bros. Paint

expiration date:

month

   

year

   

cardholders signature:

 

 

Back to Nature Products


Order #

Unit - Item Description Qty  

Price

  Total
             
BA21922 Back to Nature Ready Strip - 22oz

_____

X

$10.82

=

__________

BA17825 Back to Nature Ready Strip - Qt

_____

X

$9.94

=

__________

BA17801 Back to Nature Ready Strip - Ga

_____

X

$31.95

=

__________

BA17805 Back to Nature Ready Strip - 5g

_____

X

$159.75

=

__________

BA18878 Ready Strip Accessory Kit

_____

X

$14.99

=

__________

               
BA80525 Back to Nature After Strip 16oz

_____

X

$7.95

=

__________

               
BA22825 Back to Nature Multi Strip - Qt

_____

X

$13.94

=

__________

BA22801 Back to Nature Multi Strip - Ga

_____

X

$52.90

=

__________

BA22805 Back to Nature Multi Strip - 5g

_____

X

$259.95

=

__________

               
BA12001 Back to Nature Ultra Strip - Ga

_____

X

$77.42

=

__________

               
BA98901 Back to Nature Strip Tox - Ga

_____

X

$84.99

=

__________

BA61222 Lead Clean Spray - 22oz

_____

X

$9.99

=

__________

               
TM11516 3M crs60 Sandblaster Sponge

_____

X

$5.45

=

__________

TM50679 3M med80 Sandblaster Sponge

_____

X

$5.45

=

__________

TM50677 3M med150 Sandblaster Sponge

_____

X

$5.45

=

__________

TM11517 3M fine180 Sandblaster Sponge

_____

X

$5.45

=

__________

TU01703 Refinishing Gloves

_____

X

$3.36

=

__________

WT00511 2in Stiff Putty Knife / Scraper

_____

X

$5.99

=

__________

               
WT00511 2in Stiff Putty Knife / Scraper

_____

X

$5.99

=

__________

PP21000 ProPrep #100 Scraping Tool

_____

X

$12.99

=

__________

PP21001 ProPrep #101 Flat Blade

_____

X

$8.99

=

__________

PP21002 ProPrep #102 Large Channel Blade

_____

X

$8.99

=

__________

PP21003 ProPrep #103 Medium Channel Blade

_____

X

$8.99

=

__________

PP21004 ProPrep #104 Convex Blade

_____

X

$8.99

=

__________

               
PP21005 ProPrep #200 Scraping Tool

_____

X

$12.99

=

__________

PP21006 ProPrep #206 Crescent Blade

_____

X

$8.99

=

__________

PP21007 ProPrep #208 Small Channel Blade

_____

X

$8.99

=

__________

PP21008 ProPrep #209 Pointed Channel Blade

_____

X

$8.99

=

__________

PP21009 ProPrep #210 Diamond Blade

_____

X

$8.99

=

__________


Napier Environmental Products


Order #

Unit - Item Description Qty  

Price

  Total
               
NA21010 RemovAll 210 Paint Stripper - Ga

_____

X

$62.33

=

__________

NA21050 RemovAll 210 Paint Stripper - 5g

_____

X

$299.95

=

__________

               
NA31010 RemovAll 310 Paint Stripper - Ga

_____

X

$70.29

=

__________

NA31050 RemovAll 310 Paint Stripper - 5g

_____

X

$341.99

=

__________

shipping & handling charges:

$ Range  S & H  
$3.01 - $20.00 $6.95      
$20.01 - $9,999.99 $10.95      
 

Subtotal:

__________

 

S & H: (see chart at left):

__________
  Home  - or - Business  
   

Sales Tax: (OH & KY add 7%):

__________
Use this form to submit orders for delivery within the Continental US only!  Pricing is subject to change without notice.    

Remit this amount:

$ ________



paintman

Fax or Mail completed forms to:

(513) 458-5060

Miller Bros. Wallpaper Co., Inc.
PO Box 12210
4343 Montgomery Rd
Cincinnati, OH 45212-0210

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