Purchase Order Template

PURCHASE ORDER DATE: P.O. # CLIENT: Name: Company: Address: City, ST ZIP: Phone: Fax: TAX RESALE CERTIFICATE #: ORDERED BY ITEM # SHIP VIA (circle one) UPS -FEDEX - OTHER SHIP TO DIFFERENT ADDRESS: Name: Company: Address: City, ST ZIP: Phone: Fax: F.O.B. Miami ORDER / PAYMENT TERMS QTY UNIT PRICE TOTAL Attn: DESCRIPTION [42] CREDIT CARD INFORMATION (Please circle one) Name: VISA - MASTERCARD - AMERICAN EXPRESS- PAYPAL Credit Card #: Expiration date: Security Code: Signature: Date: THANK YOU FOR YOUR BUSINESS SUBTOTAL Sales taxes S&H OTHER TOTAL $ $ $ $ $