Also visitTEXACO 2020

CHEVRON HALLMARK 20/20

COLUMN CLADDING AND POP ORDER FORM


FUEL ISLAND COMPONENTS

COLUMN CLADDING

Part No.
Description
Unit Cost
Quantity
Total
X-33027
18" Diameter - 13' Tall Column Cladding Kit
$597.00
X-32863
18" Diameter - 17' Tall Column Cladding Kit
$592.00
X-33078
18" Diameter - 30" Extension Kit
$117.00

COLUMN CLADDING RETROFIT KITS

Order retrofit kit(s) if you are rebranding and have existing MDI column cladding
Part No.
Description
Unit Cost
Quantity
Total
X-33071
Panel Retrofit kit for 13' Tall Column
$487.00
X-32951
Panel Retrofit kit for 17' Tall Column
$472.00

COLUMN CLADDING ACCESSORIES

Part No.
Description
Unit Cost
X-15228
"U" Bracket Extension Kit – I-beam / small diam. post on 18" Diameter Column Cladding Kit
CALL
X-15228A
"U" Bracket Extension Kit - if also ordering both X-33078 and X-15228
CALL
X-33055
Intercom Face Plate Kit
CALL
X-33049
Access Cover Plate
CALL

PUMP TOPPER

Part No.
Description
Unit Cost
Quantity
Total
X-02944F
Black Aluminum Pump Topper (cartoned in sets of two; must order even quantities: 2,4,6, etc.; price is per pump topper, not per carton)
$59.75

SECONDARY BUILDING SIGN

3' x 3' CURVED FRONT BUILDING FRAME

Part No.
Description
Unit Cost
Quantity
Total
X-32904
3' x 3' Black Wall-Mounted Curved Front Building Frame
$177.30

Subtotal:
$0.00
TOTAL‡:


‡ Sales tax and pre-paid freight charges
billed when order is shipped.

Tax charged for shipments to: AZ,CA,CT,FL,GA,IL,KY,MD,MI,NC,NJ,NY,OH,PA,SC,TX,UT,VA


CUSTOMER INFORMATION



BILL-TO ADDRESS




SHIP-TO ADDRESS


* required

Marketer Name *
Facility / Marketer # *
First Name *
Last Name *
Title
Company
Address *
City *
State *
ZIP Code *
 -
Phone *
 Ext:
(numbers only; no dashes, periods, etc.)
E-Mail
(for order confirmation)

Order Date: 04/19/2024 09:38:22 PM





PAYMENT TYPE


Credit Card Purchase Order




CREDIT CARD



PURCHASE ORDER



Visa, MasterCard, American Express
Name on Card:
Account Number:
Expiration Date:
 /
CVV Code:
    what is this?



Note: If you do not already have an account with MDI, you must also fax a credit application to 248.488.5700.

IMPORTANT: Written authorization is required for MDI credit check.

Purchase Order Number:


Please verify all information for accuracy before submitting your order:

No returns will be accepted without an RMA.

Wildcard SSL

Questions about your order?

800.228.8925 - Ask for the Chevron Service Representative