Customer Order Form (Fillable)
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1Customer Order Form
CUSTOMER INFORMATION
CUSTOMER # :
DATE:
ORDERED BY:
PHONE:
PO#:
FAX:
BILL TO
SHIP TO
(If different than Bill To)
NAME:
NAME:
COMPANY:
COMPANY:
ADDRESS:
Street Address
ADDRESS:
Street Address
Street Address
Street Address
City
State
Zip
City
State
Zip
City
Zip
City
Zip
State
State
ORDER INFORMATION
ITEM #
DESCRIPTION
SIZE
QUANTITY
ITEM PRICE
ITEM COST
CUSTOM ITEMS
TOTAL
EMBROIDERY
TRIM
FLAG
EMBROIDERY
TRIM
FLAG
EMBROIDERY
TRIM
FLAG
EMBROIDERY
TRIM
FLAG
EMBROIDERY
TRIM
FLAG
EMBROIDERY
TRIM
FLAG
EMBROIDERY
TRIM
FLAG
EMBROIDERY
TRIM
FLAG
EMBROIDERY
TRIM
FLAG
EMBROIDERY
TRIM
FLAG
EMBROIDERY
TRIM
FLAG
EMBROIDERY
TRIM
FLAG
SPECIAL INSTRUCTIONS:
ORDER SUB-TOTAL:
TOTAL AMOUNT:
PAYMENT INFORMATION
NET 30
PENDING CREDIT APPLICATION
(Payments made with a check require driver’s license information)
CHECK
MONEY ORDER
CARD TYPE :
MASTERCARD
VISA
AM. EXPRESS
CARD #:
CHECKS MADE PAYABLE TO CHEF WORKS
DRIVE LIC. #:
SECURITY:
EXP. DATE:
STATE:
EXP. DATE:
NAME:
AUTHORIZED SIGNATURE:
DATE:
150 Rivermede Rd, Unit 6, Concord, ON L4K 3M8 | T: 888.640.CHEF | D: 905.761.7220 |
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Parent category: Business