Company Info.

 

Purchase Order

 

 

 

 

 

Romantic Concepts

PO Number:

 

 

 

Contact:  Gina Rozinski

Date Ordered: *

 

 

 

681 S Tustin St., #104,
Orange CA, 92866

Due Date: *

 

 

 

Shipping Method:
Fed Ex       Ground

Phone:  (866) 569-2699

Fax:      (714)771-5808

Billing
Terms: *

Visa
M/C
COD
Net 30
 

 * Required Fields 

 

Billing Address *

 

 

Shipping Address

 

 

 

 

 

 

 

 

Store:

Store:

Customer:

Contact:

Address:

Address:

 City:

City:

State:
Zip:
State:
Zip:

Phone:

Phone:

 

 

 

 

 

 

 

 

Item # *

 

Description *

 

Size *

Qty *

Unit *

Price *

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL:

 

Return Policy:

 

 

 

 

 

Merchandise can be returned

 

Buyer's Signature:____________________________

within 30 days of delivered date.

 

 

 

 

CUSTOMER NOTES:

 

 


 
 

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