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Purchase
Order PLEASE PRINT THIS ORDER
FORM AND MAIL WITH YOUR PAYMENT |
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Purchase
Order #: Date: Vendor
ID: |
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WE
ACCEPT VISA MASTERCARD CARD
NUMBER____________________________________________ EXPIRATION
DATE__________________ |
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Ship
To: |
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Req By |
Ship
When |
Ship
Via |
FOB |
Buyer |
Terms |
Tax ID |
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US
POSTAL SERVICE |
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CHECK OR
CREDIT CARD |
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Quantity |
Item |
Units |
Description |
Discount
% |
Taxable |
Unit
Price |
Total |
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001 |
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DANCING
MAN |
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$25.00
EA |
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002 |
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WHIMMY
DIDDLE |
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$7.00 ea |
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003 |
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MAGIC
BALANCING STICK |
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$5.00 |
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SHIPPING
UP |
TO
$37.00 IS |
$7.00
UNLESS OTHERWISE |
OTHERWISE
NOTED. |
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Subtotal |
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$37.00
UP TO |
$75.00
IS |
$12.00 |
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Tax NC
ADD 6.5% |
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OVER
$75.00 |
PLEASE
CALL |
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Shipping |
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PRODUCT |
WILL BE |
SHIPPED
WITHIN 4 WEEKS OF |
ORDER |
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Miscellaneous |
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Balance
Due |
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