Mail Order to: Solar Survival Solution11333 E. Rio Grande AvenueBrazil, IN 47834-9239Phone: 812-233-5261Email: Support@SolarSurvivalSolution.com |
Purchase Order
USE PRINTER OPTION FROM SOCIAL ICON BELOW FORM TO PRINT THIS FORM AND THEN MAIL IT TO SOLAR SURVIVAL SOLUTION WITH CHECK OR MONEY ORDER |
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Name: Street Address: City: State: Zip : Phone: Email:
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SHIP TO:IF DIFFERENT
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| P.O DATE | NAME | SHIPPING PREFERENCE | F.O.B. POINT | TERMS | ||||||||||
| BRAZIL, INDIANA | MONEY ORDER/CHECK | |||||||||||||
| QTY | UNIT | DESCRIPTION | UNIT PRICE | TOTAL | ||||||||||
| $ | $ | |||||||||||||
| SUBTOTAL | ||||||||||||||
| INDIANA SALES TAX
ADD 7% TO ORDER |
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| 1. PLEASE INCLUDE YOUR PHONE NUMBER SO WE CAN CONTACT YOU IF WE HAVE QUESTIONS ABOUT YOUR ORDER.
2. WILL SHIP ONCE CHECK CLEARS 3. Send all correspondence to: Good Grow Group LLC dba Solar Survival Solution 11333 E. Rio Grande Avenue Brazil, IN 47834-9239 support@SolarSurvivalSolution.com 812-233-5261 |
SHIPPING AND HANDLING | $15.00 | ||||||||||||
| OTHER | ||||||||||||||
| TOTAL | $ | |||||||||||||
| Authorized by: | ||||||||||||||