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FAX ORDER FORM
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Please fill out the form below and fax your order to us by 4:00pm for next day delivery. If you have any questions or need assistance, don't hesitate to call us at 415-392-7169.
FAX #: 415-392-7191
CUSTOMER #:

DATE: (Month / Day / Year)

FIRST and LAST NAME: (Authorized Buyer)

PURCHASE ORDER (PO) #:

DELIVER / BILL TO:

Company Name:
Address Line 1:
Address Line 2:
City / State:
Zip Code:

PHONE: (000) - (000-0000)

EMAIL:

PLEASE SEND ME A COPY OF THE NEW CATALOG (Circle one)

YES NO

** PLEASE FILL IN ALL BOXES BELOW SO THAT WE MAY PROCESS YOUR ORDER EXPEDIENTLY. **
You can enter the stock number and quantity from any catalog!
  ITEM #: PAGE #: QTY: U/M: COST: ITEM DESCRIPTION:
1            
2            
3            
4            
5            
6            
7            
8            
9            
10            

REMARKS/NOTES:

 

Russ Stationers, Copyright 2002-2004. All rights reserved.THANK YOU FOR YOUR ORDER!


HOME/ORDER ONLINE/CONTACT US

FAX ORDER FORM
Please use this additional page for orders over 10 items.


PAGE ___ OF ___ PAGES
(i.e., page 2 of 3 pages total)
CUSTOMER #:

DATE: (Month / Day / Year)

FIRST and LAST NAME: (Authorized Buyer)

PURCHASE ORDER (PO) #:
** PLEASE FILL IN ALL BOXES BELOW SO THAT WE MAY PROCESS YOUR ORDER EXPEDIENTLY. **
You can enter the stock number and quantity from any catalog!
  ITEM #: PAGE #: QTY: U/M: COST: ITEM DESCRIPTION:
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             

REMARKS/NOTES:

 

Russ Stationers, Copyright 2002-2004. All rights reserved.THANK YOU FOR YOUR ORDER!

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