PURCHASE ORDER
P.O. # [NO.]
DATE:
[Company Slogan]
[Street Address, City, ST ZIP Code]
Phone [phone] Fax [fax]
[email]
VENDO [Contact Name] SHI [Contact Name]
R [Company Name] P [Company Name]
TO
[Street Address] [Street Address]
[City, ST ZIP Code] [City, ST ZIP Code]
[phone] [phone]
Customer ID [No.] Customer ID [No.]
SHIPPING METHOD SHIPPING TERMS DELIVERY DATE
QTY ITEM # DESCRIPTION JOB UNIT PRICE LINE TOTAL
SUBTOTAL
SALES TAX
TOTAL
1. Please send two copies of your invoice.
2. Enter this order in accordance with the prices, terms,
delivery method, and specifications listed above.
3. Please notify us immediately if you are unable to ship as
specified.
4. Send all correspondence to:
[Name]
[Street Address]
[City, ST ZIP Code]
Phone [phone] Fax [fax]
Authorized by Date