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W.B. Mason Internet Ordering Setup Request Form

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Please enter the information below, then select the "Printable Form" button to return a page which is your WB Mason Ordering Setup Request. Print the request, obtain the authorizing signature, and fax the form to Suzanne Bolton at (508) 457-2192.

  First name: Last name:
  Department: Department number:
  Phone (extension): Mail stop:
  Email address: Send product to:
  (used as part of login)   (building/floor/room number)

  Account Numbers (use a separate sheet for additional numbers)
  Project/Cost Center Account Name

  Per item (<$500):    Per order (<$500):    Per month (<$10,000): 


Last updated: April 18, 2014

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