Discraft ChainStar Quote and Order Form

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Use this form to request a quote or place an order for Discraft ChainStar baskets. If requesting a quote, we will fax or email you within 1-2 business days.

Bill To
Required information is indicated by a red asterisk *
Organization name
*Contact
*First *Last
*Address
*Address 1  Address 2
*City
*State/Prov
*Zip Code
*Country
*Day Phone
Eve Phone
Day Phone Type
| cell | home | work
Eve Phone Type
| cell | home | work
*Email
Fax
Ship To
<<< CHECK HERE IF SHIPPING INFO IS SAME AS BILLING,
OTHERWISE COMPLETE YOUR SHIPPING INFORMATION BELOW:
Organization name
Contact
FirstLast
Address
Address 1 Address 2
City
State/Prov
Zip Code
Country
Day Phone
Eve Phone
Day Phone Type
| cell | home | work |
Eve Phone Type
| cell | home | work |
Email
Fax

*Is the receiver a residence or a business?
Residence          Business
Does the receiver have a shipping dock?
Yes          No, lift gate is needed

*Are you requesting a quote, or placing an order?
Quote          Order
Date Required
PO# (restrictions apply, see below)
Please note: PO acceptance is limited to schools and government offices. PO must be received before order will be shipped.

Baskets
QTY.
Type of ChainStar
Description
Basic ChainStar
Includes: 1 pole, 1 chain assembly, 1 trapper basket.
Removable ChainStar
Includes: 1 pole, 1 chain assembly, 1 trapper basket, 1 locking collar, 1 ground sleeve.
Portable ChainStar
Includes: 1 pole, 1 chain assembly, 1 trapper basket, 1 mounting stand.
Basic ChainStar Pro
Includes: 1 pole, 1 chain assembly, 1 trapper basket.
Removable ChainStar Pro
Includes: 1 pole, 1 chain assembly, 1 trapper basket, 1 locking collar, 1 ground sleeve.
Portable ChainStar Pro
Includes: 1 pole, 1 chain assembly, 1 trapper basket, 1 mounting stand.
 
Extra Parts
QTY.
Part
Locking collar
Ground sleeve
Top chain assembly
Trapper basket
Mounting stand
Tall pole (for basic and removable)
Short pole (for portable)
Number plate
Number stickers (orange)

If ordering today, please provide your credit card infomation.

Name on card:
Billing Street Address:
Billing City, State, Zip:
Billing Country:
Credit Card Number:
Exp Date:
Security Code:
Enter any additional comments and questions here: