Order Form
(Print this form and complete)
| Today's Date: ________________ |
Order #:_________________ |
|
| Ship To: | ||
| Contact Name:______________________ | Name:_____________________________________ | |
| Phone No:__________________________ | Address:___________________________________ | |
| Tax ID #:________________________ | _____________________________________ | |
| _____________________________________ |
| Quantity | Item # / Description | Unit Price | Total |
|
Grand Total |
|||
* Opening Order minimum: $100.00. Reorder
Minimum: $75.00. Orders delivered 2-3 weeks after order date. Half of Order amount due at ordering and the
remainder C.O.D.
Buyer's Signature:______________________________________