Distributors & Wholesalers of first quality brand name apparel! Fax #: 630.428.2335

PO Form

P. O. Number:_____________________

Requested By:_____________________ Phone:________________________________

Date:______________________________ Fax:___________________________________

Bill To: Ship To:

__________________________________ _____________________________________

__________________________________ _____________________________________

__________________________________ _____________________________________

Contact:__________________________ Contact:______________________________

Phone:____________________________ Phone:_______________________________

Fax:________________________ Fax:___________________________

Terms: COD, Credit Card or Pre-pay

Item No.	Description	QTY	Unit Price		Ext. Price
			Sub-Total $
			Shipping	$
			Total $

X_________________________________ X_________________________________

Buyer’s Signature Date