Party Decoration Fabric

1800 East 16th St.
Los Angeles. CA. 90021
Tel: (213)745-4446 Fax: (213)745-4442

PARTY DECORATION FABRIC PURCHASE ORDER

BILL TO:

Name/Company

No. Street, Suite/Bldg. No.

City, State, Zip

SHIP TO:                               SAME AS BILL TO

Name/Company

No. Street, Suite/Bldg. No.

City, State, Zip

Tel. No.: 

Fax No:  

BUYER'S INFORMATION:

NAME : 

E-MAIL: 

DATE:  SHIP VIA:
ORDER No.: TERMS: 
STYLE #  COLOR

QTY

DESCRIPTION

* (1 dozen per item minimum)

 UNIT COST   TOTAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Remarks:

 

FOR CREDIT CARD PAYMENT ONLY: ( Please fill in your credit card information clearly. )

CREDIT CARD AUTHORIZATION

This is to authorize Party Decoration Fabric to charge the amount stated below to my credit card.

 

* Please indicate the Order no. from the order no. form above.

Order No.:

Amount :
Credit Card Number :
Credit Card Name Holder :
Credit Card Billing Address :
Credit Card Expiration Date :

If you print this to fax, please sign the space below;

 

 

_______________________________

Signature                

 

PRINT THIS PAGE AND FAX TO

(213)745-4442

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