| PURCHASE ORDER |
(MINIMUM
$300.00) |
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DATE: |
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PO # |
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Ship To: |
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| Name |
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Name |
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| Company |
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Company |
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| City, State ZIP |
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Fax |
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| Payment method: |
____Mastercard____Visa____American
Express____Discover____Account____COD CASH____COD Co. Check |
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| Name on Card: |
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| C.C. Account #: |
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Exp. Date:__________ |
CCV____________ |
| Authorized Signature: |
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Name: |
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| Billing Address: |
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| Address: |
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State:_________ |
Zip:_______________ |
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| QUANTITY |
ITEM # |
DESCRIPTION |
UNIT PRICE |
AMOUNT |
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| Vendor: Jumbo Products, Inc. |
Fax#: (718)204-0422 |
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SUBTOTAL |
$
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| Address:
39-26 24 Street |
Email: info@jumboproducts.com |
TOTAL |
$
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| City/State/Zip: Long Island City, NY 11101 |
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| Phone#: (866)535-5835 or (718)204-7575 |
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| **PLEASE PRINT
& FAX BACK ORDER TO (718)204-0422 |
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