<p> Absolute Powder Coating, LLC. Shipping Form</p><p>Please fill out, print, SIGN, and mail to: Absolute Powder Coating, 202 Grotzinger Road, St. Marys, PA 15857</p><p>NAME:______DATE:______</p><p>ADDRESS: ______DELIVERY ADD:______</p><p>______</p><p>PHONE: ______</p><p>COLOR CHOICE PART DESCRIPTION COST</p><p>Total </p><p>COMMENTS/ SPECIAL INSTRUCTION:</p><p>______</p><p>______</p><p>______</p><p>DISCLOSER/DISCLAIMER:</p><p>Custom coating piece must withstand 400 degree cure temperature, remove all gaskets, seals, any plastic, etc. Extra charges will apply for parts in need of cleaning, dismantling, and or assembly. Sand blasting is available to remove old paint and finishes. Absolute Powder Coating, LLC. will not be held liable for damage to parts resulting from the coating application process. In addition, and without limiting the foregoing, PURCHASER expressly acknowledges the existence of the pre-existing damage to parts described above and releases Absolute Powder Coating, LLC. from any liability or loss in connection with such damage, including an exacerbation of the described damage.</p><p>Purchaser agrees to all information stated above. Sign X______</p>