Atkins and Pearce Wicks

 

Sample Set Order Form - $35.00 per set
 All fields marked with an * are required

GENERAL INFORMATION
Contact Name*
  
Phone*  
Fax
Email
 
BILL TO ADDRESS
Company Name*  
Mailing Address 1*  
Mailing Address 2
City*
  
State*  
Zip Code*  
Country*  
 
PAYMENT INFORMATION
An Atkins and Pearce Customer Service Manager will contact you for credit card information once your order has been submitted.
 

SHIP TO ADDRESS (if different from Billing Address)

Company Name
Mailing Address 1
Mailing Address 2
City
State
Zip Code
Country
   
ORDER INFORMATION

Choose Sample Set

Choose Type of Wick



 



 

Raw Wick | Waxed & Tabbed Wicks | Wick Slection Guide | Sample Set