Bronze Wholesalers.com

Email:  order@bronzewholesalers.com
Name:___________________________

Address:_________________________

          _________________________

                  Phone:__________________________

Driver's Lic.:_____________________

 

Date:_____________________________

Salesman:__________________________

Paid by:___________________________

Ship:_____________________________

Resale No:_________________________

 
Quantity Code No. Description Unit Price Amount
         
         
         
         
         
         
         
         
         
         
ALL SALES ARE FINAL!  NO CASH REFUNDS.
 Buyer accepts liability for all legal fees and collection cost, including maximum interest allowed by law.
ALL GOODS REMAIN THE PROPERTY OF BRONZE WHOLESALERS UNTIL FULLY PAID FOR.

SIGNED:_______________________________

 NET SALE:  
SHIPPING CHARGES:  
SUBTOTAL:  
SALES TAX:  
GRAND TOTAL:  
*Information that must be filled in to process order:

               Name
               Address (Billing and Shipping)
               Phone #
               Code No.'s
               Description
               Date
               Paid by (Method of payment-if paying by check, include driver's license number and attach a copy of driver's license to faxable form.)
*Delivery Charges are calculated in accordance with standard UPS shipping rates and are determined based on the size and weight of your order.
*Louisiana residents must add 8% sales tax.
*Order form must be signed.