CMT PURCHASE ORDER FORM | CMTINC.COM 3910 SW 53rd Street Corvallis, OR 97333 USA |
Email: support@cmtinc.com |
Company Name: | _______________________________________________________ | ||||
Invoicing Address: | Attention: ____________________________ | ||||
_______________________________________________________ |
City | ____________________________ | State | ________________ | ZIP | _______________ |
Phone: | _______________________ | Fax: | _______________________ | |
Shipping Address: | Attention: ____________________________ | |||
(if different) | _______________________________________________________ (No P.O. Boxes please) |
City | ____________________________ | State | ________________ | ZIP | _______________ |
Phone for Shipping Address: _______________________ | ||||||||
Email: __________________________ Contact: (if different) ________________________ | ||||||||
CMT Part # | Item / Description |
Qty | List Price | Extended | ||||
______________________ | _____________________ | ___ | ___________ | ___________ | ||||
______________________ | _____________________ | ___ | ___________ | ___________ | ||||
______________________ | _____________________ | ___ | ___________ | ___________ | ||||
Shipping
& Handling Charge (per quotation): |
___________ | |||||||
Any duty and taxes are the responsibility of the purchaser. | Total : |
___________ |
If purchasing software upgrade or hard
key, please provide the serial number from the software CD:
____________________________.
Please also specify
the type of hard key:
parallel printer port ________, or USB port ________.
Payment
Terms (circle): |
Net 30 |
Prepaid |
Prepaid |
|
We no longer take |
PO# (if applicable): Authorization : |
___________________ ______________________ |
Date:____________ |
|
|
Please email completed form
to: support@cmtinc.com
For order assistance call CMT at (541) 752-5456.