Order Form

1421 Banks Road,
Margate, Florida 33063
Ph: 954.346.9374
Fax: 954.973.2550
Insync Business Solutions


Purchase Order #:    *      Date: / /

Company Bill To Information:

Name:  *
Address:  *

City:  * Zip:  *

Phone & Fax: ( ) -  *

Company Ship To Information:

Name:
Address:

City: Zip:

Phone & Fax: ( ) -   

Order Information

Requested By:  * Ship Via:  *

Location:  *Required Date:  *

Customer #:  * Terms:

Product Codes  : 1001- Black,   1002- White,  1003-Gold

ALL PRICES MUST BE CALCULATED BY HAND AND INPUTED INTO FORM CORRECTLY FOR ORDER PROCESSING

Item/Style Color Description S M L XL XXL XXXL XXXX Total Units Unit Price Ext.(Total)
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
TOTAL
   
    $  *

 * = required field         
SHIPPING CHARGES ARE TO BE DETERMINED BY VOLUME OF ORDER.
Thank You For Your Business

Note:                                                                                                                                                                                                    
Returns will not be accepted without prior permission from IBS. All claims must be made within 5 days after receipt of goods.   Customer accepts and agrees to terms and conditions incorporated in the contractual agreement. Terms start from the date of shipment.