Sales Order / Quotation Form *
1. New Customers: Please complete this section
2. Existing Customers: Please complete this section
Company Name:
*
Contact Name:
Mailing Address:
Province/State
:
Country:
Postal ZIP Code:
*
Telephone Number:
Telephone Extension:
Fax:
*
E-mail:
Website:
www.
* Denotes required fields
*
Customer I. D. ** :
Company Name:
*
Contact Name:
*
Telephone Number:
Telephone Extension:
Fax:
*
E-mail:
Purchase Order Number:
** Your Customer I. D. can
be seen on your Acme Invoice
* Denotes required fields
3. Please indicate if this is an:
Order or a Quotation:
4. Type the Quantity + Product Code + Description of the Products for Your Order Here:
* Please do not include any personal financial information on this form!
5. Please Select Your Preferred Method of Payment:
SECURE
Cash
Debit
Visa
Mastercard
PayPal World Pay
(obtain total before you pay)
American Express
Money Order
Certified Cheque
Bank Transfer
6. Please Provide Pick-up / Delivery / Installation Instructions Below:
A. Prepare Order for:
Pick-up
or
Delivery/Shipping
B. Shipping to Address (only if different from above):
Ship Using My Carrier Account:
*
Preferred Carrier:
*
Carrier Acct. No:
*
Carrier Telephone #:
Carrier Contact Name:
* Denotes required fields
Ship Prepaid, add the Shipping Costs to Invoice
:
.
.
.
.
.
.
*
Ship To Company Name:
*
Receiver Contact Name:
*
Ship To Address:
*
Ship To Province/State:
Ship To Country:
*
Ship To Postal ZIP Code:
*
Ship To Telephone:
Telephone Extension:
Ship To Fax:
Ship To E-mail:
Other:
* Denotes required fields
*
All Sales are subject to our
Terms and Conditions