ORDER FORM

Receiver Buyer

Name/s:

Address & Postal Code:

Cellphone No.

E-Mail:

Date: Processor Order No. Page___ of ____

NO. PRODUCT CODE QTY UNIT PRICE

UNIT TOTAL

TERMS:

REMARKS:

SUBTOTAL

PROCESSING

DELIVERY

PAYMENT

AUTHORIZED SIGNATURE: BUYER’S SIGNATURE:

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