PRUCHEEK

WHOLESALE ORDER FORM

CUSTOMER # _________________________________ ORDER # ________________________________ INVOICE # __________________________

(FOR OFFICE USE ONLY)

PLEASE FAX ORDERS TO 314-955-6999

QUESTIONS? CALL 314-708-0207 or EMAIL info@prucheek.com

April Pruitt, Owner

BILL TO:	_______________________________________ _______________________________________ _______________________________________	SHIP TO:	_______________________________________ _______________________________________ _______________________________________	DATE:	___/____/____
PHONE:	(________)_____________________________	PHONE:	(________)_____________________________	SHIP:	___/____/____
FAX:	(________)_____________________________	FAX:	(________)_____________________________
EMAIL:	______________________________________	EMAIL:	______________________________________
RESALE TAX #: _______________________________________

PAYMENT INFORMATION – PLEASE SELECT ONE OF THE FOLLOWING OPTIONS:

O PRE-PAY

O COD

O NET 30

O CREDIT CARD (CIRCLE ONE): VISA MC

CARD #:	_________________________________________________	EXP DATE:	___________
NAME ON CARD:	_________________________________________________	CC BILLING ADDRESS:	_______________________________________

PO NUMBER:

________________________________

SUBSTITUTIONS OKAY?

YES NO

BACK ORDERS OKAY?

YES NO

Individual Cards: $1.25 | Packs of 10: $11.00

ITEM #

QTY

DESCRIPTION

ITEM #

QTY

DESCRIPTION

SPECIAL INSTRUCTIONS:

TERMS: - Minimum First Order: $50. - New Accounts: Must prepay via credit card or check before order is shipped. - Customer pays all shipping, insurance, and C.O.D. charges where applicable - Shipping charges will be calculated and added to final invoice. - Make checks payable to: Prucheek - Orders are nonrefundable. Damaged items may be replaced if returned to Prucheek within 30 days of receipt of order. - Please allow 2-4 weeks for delivery - Special orders and commissions available. - Ship via UPS Ground