Patco's Online Order Form

Thank you for ordering from the All you need to do is simply fill out the form
below and submit it. It's that simple!

* Please note you must enter billing information inorder for the form to be submitted.


* Billing Information:

First and Last Name:

Tel:   Fax:

Address:  City:

State:   Zip:  E-mail:


*Please enter the products and quantities:

Please call for credit card orders at 1.718.497.1527


Extra Information (optional):

Company Name:

Questions or Comments:

Please choose the type of products you normally purchase.

Janitorial Supplies    Shipping Supplies   Packaging Supplies
Building Maintenance Supplies   Industrial Supplies

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