Atkinson Electric LLC Wallplate Division P.O. Box 172 West Green, GA 31567 PH. 912.384.9773 Fax 912.384.6857 www.woodwallplates.com
Phone
Date PO# Job Name Mastercard Visa Discover American Express Card # Expiration Date Security Code
Edge
Screw Color
Name and Shipping Address: (Priority Mail)
Credit Card Billing Address:
Shipping & Handling(inside the U.S)
Flat Plates $12 Per Order. Shipping price on Log Wall Plates will be $12.00 minimum but can vary based on weight.
Insurance(if desired, inside the U.S)
Order Total: