YOUR LOGO

Company Name DATE

123 Main Street 05/11/2022

Hamilton, OH 44416 ORDER NO.

(321) 456-7890 46851

Email Address CUSTOMER NO.

Point of Contact A42

BILL TO SHIP TO ORDER FORM

ATTN: Name / Dept ATTN: Name / Dept
Company Name Company Name

123 Main Street 123 Main Street

Hamilton, OH 44416 Hamilton, OH 44416
(321) 456-7890 (321) 456-7890

Email Address

DESCRIPTION COLOR S M L XL XXL XXXL QTY UNIT PRICE TOTAL

BLUE 10 10 10 10 10 10 60 $10.00 $600.00

BLACK 5 5 5 5 5 5 30 $20.00 $600.00
WHITE 10 10 10 10 10 10 60 $5.00 $300.00
ORANGE 5 5 5 5 5 5 30 $10.00 $300.00
BURGUNDY 0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
REMARKS / PAYMENT INFO: SUBTOTAL $1,800.00
enter total amount DISCOUNT $50.00
SUBTOTAL LESS DISCOUNT $1,750.00
enter percentage TAX RATE 7.214%
TOTAL TAX $126.25
SHIPPING/HANDLING $50.00
Please make check payable to Your Company Name. OTHER $50.00

THANK YOU TOTAL $1,976.25

 YOUR LOGO
Company Name DATE

123 Main Street

Hamilton, OH 44416 ORDER NO.

(321) 456-7890
Email Address CUSTOMER NO.

Point of Contact

BILL TO SHIP TO ORDER FORM

ATTN: Name / Dept ATTN: Name / Dept
Company Name Company Name

123 Main Street 123 Main Street

Hamilton, OH 44416 Hamilton, OH 44416
(321) 456-7890 (321) 456-7890

Email Address

DESCRIPTION COLOR S M L XL XXL XXXL QTY UNIT PRICE TOTAL

0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
REMARKS / PAYMENT INFO: SUBTOTAL $0.00
enter total amount DISCOUNT $0.00
SUBTOTAL LESS DISCOUNT $0.00
enter percentage TAX RATE 0.000%
TOTAL TAX $0.00
SHIPPING/HANDLING $0.00
Please make check payable to Your Company Name. OTHER $0.00

THANK YOU TOTAL $0.00

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