PURCHASE ORDER (MINIMUM $300.00)
DATE:
PO #
Bill To: Ship To:
Name     Name    
Company     Company    
Address     Address    
City, State ZIP     City, State ZIP    
Phone     Phone    
Fax     Fax    
Payment method: ____Mastercard____Visa____American Express____Discover____Account____COD CASH____COD Co. Check
Name on Card:      
C.C. Account #:       Exp. Date:__________ CCV____________
Authorized Signature:      
Print Name:       
Billing Address:      
Address:      
City:   State:_________ Zip:_______________
QUANTITY ITEM # DESCRIPTION UNIT PRICE AMOUNT
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Vendor:  Jumbo Products, Inc. Fax#:  (718)204-0422  SUBTOTAL    $                    -  
Address: 39-26 24 Street Email:  info@jumboproducts.com TOTAL    $                    -  
City/State/Zip:  Long Island City, NY 11101
Phone#:  (866)535-5835 or (718)204-7575
**PLEASE PRINT & FAX BACK ORDER TO (718)204-0422