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Confirmation Of Purchase Order
CONFIRMATION OF PURCHASE ORDER
DATE OF ORDER : [DATE OF ORDER]
P. O. # [P. O. #]:
BILL TO : [BILL TO] SHIP TO : [SHIP TO]
PRODUCT : [PRODUCT]
DISCOUNT : [DISCOUNT]
TERMS : [TERMS]
QUANTITY : [QUANTITY]
NO CHARGE OFFSET PRODUCT : $ [NO CHARGE OFFSET PRODUCT] @ RETAIL VALUE.
SYSTEM : [SYSTEM]
NET COST : [NET COST]
TERMS : [TERMS]
FREIGHT FOR PRODUCT AND SYSTEM : [FREIGHT FOR PRODUCT AND SYSTEM]
SHIP DATE : [SHIP DATE]
Authorized Signature Title Date
Please complete and return to Sales Department
FAX # [FAX NUMBER]
THIS ORDER WILL BE HELD UNTIL RECEIPT OF THIS SIGNED FORM.
Thank You.