Order form
Purchase order Nº
Required date
To invoice
To invoice
Bill to
Ship to
Billing date
Fiscal year
Budget code
Ordered by
Account Nº
Account Nº
Phone
Message
Net 30 days
Terms
Code
Qty Description
Page
Price
Total
Fax
Transmission mode
Subtotal Freight
Authorized by
Handling
Total (before tax)
Prov. tax code 1
GST 5%
Name
Date
PST 9.975%
Grand total
Signature
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