Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Bale Tie Wire Gauge(s) *

11-gauge

12-gauge

13-gauge

14-gauge

N/A

Black Annealed Box Wire Gauge(s) *

10-gauge

11-gauge

12-gauge

N/A

Box Size/Weight *

50 lbs

100 lbs

N/A