ORDER DATE: -- mm/dd/yy
ACCOUNT NUMBER:
P.O.:
Murrysville Business Park
101 Technology Lane , Export , PA 15632
PHONE: (724) 327-7200 FAX: (724) 325-4522
NATIONWIDE:  800-548-2080  
ATTENTION TO:
PHONE NUMBER: -- 123-456-7890
 BILL TO: SHIP TO: 
ADDRESS: ADDRESS: 

CITY:

 

STATE: 

ZIP:

CITY:

 

STATE: 

ZIP:

 

QUANTITY     UNIT   PRODUCT CODE    PRODUCT NAME UNIT PRICE   EXTENDED PRICE
 
        
SPECIAL INSTRUCTIONS::


PURCHASER’S NOTE: VERBAL AGREEMENTS NOT RECOGNIZED UNLESS EMBODIED HEREIN. INSTALLATIONS SHALL BE THE SOLE RESPONSIBILITY OF THE PURCHASER, REPRESENTATIVES OF GENERAL PRODUCTS AND SUPPLY, INC. ARE NOT AUTHORIZED TO RECEIVE OR EXCHANGE MERCHANDISE. ALL SHIPMENTS F.O.B. FACTORY. CHARGES NOT DEDUCTIBLE FROM INVOICE. 1-1/2% FINANCE CHARGE PER MONTH (18% PER ANNUM) ON PAST DUE ACCOUNTS. ALL MONIES PAYABLE TO GENERAL PRODUCTS AND SUPPLY, INC. ONLY.

Kindly ascertain that prices and terms are correct. The Purchaser recognizes that this is a bona fide order and thus is not subject to cancellation. Merchandise shipped subject to home office acceptance of this order. In relation to volume of purchases, the company credits with its shipping confirmation value credits exchangeable for additional lighting or chemical products or other useful items.

 

revision 01290457