Order form.pdf, Sheet1, Fawcett co., inc – Fawcett DS-3000 User Manual
Page 8: Order form
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FAWCETT CO., INC.
PHONE: 330.659.4187
3863 Congress Pkwy.
FAX: 330.659.6991
Richfield OH 44286
E-MAIL: [email protected]
ORDER FORM
Person Placing Order : ____________________________________
P.O. # : ______________________
Phone # : ________________________
FAX # : __________________________
SHIP TO:
BILL TO:
Attention
Attention
Location
Location
Street Address
Street Address
City State Zip
City State Zip
Req. Date
Requesitioner
Ship Via
Buyer
F.O.B.
Terms
Richfield, OH
NET 30 Days
Quantity
Item
Description
Unit Price
Total
Subtotal
Sales tax will be added to deliveries in the state of Ohio 
unless a tax exempt certificate is on file.
Tax
Shipping
Miscellaneous
All orders are F.O.B. shipping point. Shipping charges 
will be added to invoice.
Balance Due
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