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OfficeSupplyStop.com - Fax to: 1-877-654-7231
Mail and Fax Order Form
Ship to:
Name _______________________________
Address _____________________________
City ________________________________
State ______________ Zip ______________
Phone ( )________________
Fax ( ) _________________
Credit Card Billing info (must match credit card):
Name _______________________________
Address _____________________________
Address _____________________________
City ________________________________
State _______________ Zip _____________
Phone ( )___________________________
Email _______________________________
Credit Card Type: MC VISA Amex
Credit Card No: ________________________
Expiration Date: _______________________
CVV2 number (3 digits on back of card): _____
Signature: _____________________________
Items to be ordered:
|
Item code |
Quantity |
Unit Price |
Total for item |
|
________________ |
______ |
_______ |
$__________ |
|
|
______ |
_______ |
$__________ |
|
|
______ |
_______ |
$__________ |
|
|
______ |
_______ |
$__________ |
|
|
______ |
_______ |
$__________ |
|
|
______ |
_______ |
$__________ |
|
|
______ |
_______ |
$__________ |
Subtotal:__________________________
Sales Tax (5% MA residents only):__________________________
Shipping - $5 on orders under $50:__________________________
GRAND TOTAL:__________________________
Fax to: 1-877-654-7231
Mail to:
OfficeSupplyStop.com
45 Liberty Street
North Andover, Ma 01845
Alternative Payment (prearrangements must be made):
Net Terms
Purchase order: __________________
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