Sample Order Form

SAMPLE ORDER FORM Please fax this completed form and a copy of your purchase order to CID # Date: June 19, 2008 Purchase Order # Name: Company: Ship To Addr. City: State/ZIP Phone: Fax: Email: ADDRESS Phone: Fax: E-mail: Web: Name: Company: Bill To Addr. City: County: State/ZIP Phone: Fax: Email: Fresno County Credit Card: Visa Discover Master Card American Express Card Number: Cardholder Name: Signature: Exp. Date Item Code/Paper Type Product Description Size Length Quantity Price Each Total $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Subtotal: Tax: 7.875% TOTAL: $0.00 $0.00 $0.00 Instructions on how to fill out the required fields on the order form: 1 Item Code/Paper Type 8650000042 BMHR240001 2 Product Description 20# inkjet bond 24# inkjet pres. paper 3 Size 36" roll 36" 4 Length 300 ft 100' This workbook auto-calculates your purchases as you add in quantities and unit prices. All parts of this order form are meant to coincide completely with the price list provided either on the website or by your CVIS media specialist. If you find any problems with items on this price sheet (like the tax rate for your specific county, absence of your county in the list, or feel that the totals are not correct), please call 1-800-511-8020 and report the problem immediately. 1. This is where to enter the paper code that the paper is identified by in the price list. 2. This is where to enter the paper weight (#) and description 3. This section identifies what the paper size is. For rolls enter the roll size (36 inches in this case) If it is a sheet instead of a roll, then enter both dimensions here (example: 24x36) and skip #4 4. Enter the roll length (in feet) in this section 5. How many of the specified item you want to order. If this is a repeat order with multiple items and you don't want to order a particular item, just put zero here (like in the example above) and it won't be tallied in the final total. This is particularly useful if you often order the same things but not all at once. You can just save this file to your hard drive when you have all of your common papers entered and set the quantities for each order as you need them. Say goodbye to having to write down the same thing over and over again! 6. Invidual unit price. From current price sheet. 7. Automatically calculated total using the quantity and unit price. The tax is factored in and based on the county selected when the purchaser's information was entered. Totals are always subject to approval by CVIS to ensure that you are receiving the best price possible! 5 2 0 6 $21.66 $21.39 7 Total $43.32 $0.00 Quantity Price Each Subtotal: Tax: 7.875% TOTAL: $43.32 $3.41 $46.73