Purchase Order
Quale Company 12 Interchange Drive West Lebanon, NH 03784 Phone: 1-603-298-5495 Fax: 1-603-298-7871
Bill To: [Name] [Company Name] [Street Address] [City, ST ZIP Code] [Phone]
Shipping Terms Prepaid
Date: P.O. #:
*Customer ID: enter your customer number here.
*If you have previously placed an order pleas
Ship To:
[Name] [Company Name] [Street Address] [City, ST ZIP Code] [Phone]
Desired Delivery Date
Shipping Method UPS
Qty
Item # SmCS LgCS CD
Description Small Color Shells Large Color Shells CD Training Video
Other
Unit Price $ $ $ 14.00 16.00 10.00
*Shipping and Handling Shells: 1-10 dozen--$10.00 11 to 29 dozen $15.00 30 to 49 dozen $20.00 50 dozen and up $50.00 per box of 50 dozen Add: $2.00 for CD Video to above prices CD Only: $7.50 (no shells order)
Subtotal *Shipping & Handling Total
Authorized by
1. Please complete the above information. 2. Fax this form to the above information. 3. 0r Submit this form via our website.
Color Shells - Innovators of the Hair Care Industry
Purchase Order
November 2, 2009
*If you have previously placed an order please enter your customer number here.
Desired Delivery Date
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*Shipping & Handling
Date
Color Shells - Innovators of the Hair Care Industry