|
14230 ELGIN BLVD |
BUCKLES WHOLESALE |
248-545-3556 FAX 248-545-3460 |
| ORDER NO:_________ | SALESMAN _____________ | DATE_____________1 |
| SHIP
TO: |
__________________________________ | PHONE | _____________________ | ||||
ADDRESS: |
__________________________________ | PAGES______ | |||||
|
CITY: |
__________________________________ | STATE__________ | ZIP_______ | ||||
|
CONTACT: |
__________________________________ | ||||||
| PAID BY: | VISA MASTERCARD CHECK CASH OTHER________________ | ||||||
CREDIT CARD #_______________________________ EXPIRES_______/_________
| QTY | SKU NO: | DESC. | $$ EACH | TOTAL |
| REMARKS: | TOTALS | $ |
| SHIPPING | $ | |
| GRAND | ||
| SHOW NAME: STATE | TOTALS | $ |
PAGE ____ OF _____ CUSTOMER SIGN HERE________________________________1