Order FormOrder Form

Ordering made easy. Online Ordering by Parker Block CO.INC.
Complete the entries below and submit for easy ordering online.
Individual/Company Name(required)
Customer Code
Street Address(required)
City(required)
State(required)
Zip Code(required)
Contact Name(required)
Contact Phone #(required)
Email Address(required)
Ship To Street Address
Ship To City
Ship To State
Ship To Contact Name
Ship To Contact Phone #
Item Description(required)
Quantity(required)
Item Description
Quantity
Item Description
Quantity
Item Description
Quantity
Item Description
Quantity
Notes

Delivery and Indemnification: PBC’s (Parker Block Company) responsibility for delivery ceases at the curbside or street frontage of the address for delivery. If the Purchaser requires PBC to cross the curb line or enter private property to make delivery on site, the Purchaser shall be responsible to provide safe and adequate access and such delivery shall be at the risk of the Purchaser and, in consideration of PBC providing on-site delivery, the Purchaser agrees to indemnify PBC for all liability in respect to any damage to the public or private property and every injury or wrong whatsoever which may result therefrom.

Delivery Site Conditions: PBC reserves the right to determine whether the site for delivery requested by the Purchaser is suitable for such delivery and PBC may refuse to deliver to a site PBC is of the opinion that delivery would be unsuitable or unsafe. The Purchaser shall be responsible for all costs and damages incurred where adequate for delivery cannot be obtained.

Unattended Delivery Sites: Where delivery of products is to an unattended site, PBC will not be liable for any loss or damage to products, property or for unsigned delivery tickets.

CAUTION! Freshly mixed cement, mortar, concrete or grout may cause skin injury. Avoid contact with eyes where possible and wash exposed skin areas promptly with water. If any cement mixture gets into the eyes, rinse immediately and repeatedly with water and get prompt medical treatment. Sawing or grinding of concrete masonry units may result in the release of dust particles which, without the use of proper eye or respiratory protection, could cause eye or nose irritation.