Julie's Formula

DISTRIBUTOR'S ORDER Form

Name Of Company/ Individual (s):

Address of Company/        Individual (s):

 

Date of Requisition:

 

Name and Rank of Person making requisition:

 

Quantity last bought:

 

Quantity now required:

 

Proposed date for supply:

 

Price for collection by buyer:

 

Price for Ex-factory Delivery:

FOR OFFICE USE ONLY

BILLING.

Purchase Order #
Account Name

Account Number:

Mode of payment:

 

 Cash  Cheque  Bank Draft  Other forms of transfer

Receipt No:

 

Address for delivery:

 

Ex-FACTORY DELIVERY

 

 
City:   
State:   
Country:   
                                                                 

`                RECEIVING AGENT OF BUYER

          Products received in good condition By: (Please state name and rank)

           Name:    Rank:

          

           

         .........................................                                       .......................................

            Signature of client:                                                                      Signature of staff:

                                                                           (Julie's Formula representative)  

                                                                                                              


By order of Management of Julie's Formula company. 1615�                                                                                                               
Copyright � 2004 Julie's Formula. All rights reserved.
Revised: 08/04/08