Sample Request
Purchase Order #
Samples are offered at end quantity pricing.
Name of Company | |||||||||||||
Address | |||||||||||||
Telephone | Fax | ||||||||||||
Work Order # | |||||||||||||
Purchase Order Date | Date Required | ||||||||||||
PST Registration # | Federal ID# | ||||||||||||
|
|
||||||||||||
Order placed by: Ship via: Terms: | ||||||||||
Item number | Item detail | Color | S | M | L | XL | XXL | Other | Unit Price $ | Total Price $ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
||||
Sub Total | ||||||||||
Freight | ||||||||||
GST | ||||||||||
PST | ||||||||||
Total | ||||||||||
Advance Paid | ||||||||||
Amount Due |
Remarks: | |
You can download this document in the following format: PDF SampleRequest.pdf