Purchase Order 2016.xls
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Purchase Order
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Date:
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54-08 46 Street,Tel: 718-433-2698
aquavim@aol.com
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Maspeth, NY 11378Fax: 718-433-4826
info@aquavim.com
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www.aquavim.com
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Name of Buyer/Store:
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Shipping Address:
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City, State, Zip:
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Phone:
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Fax:
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Contact name:
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E-mail:
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Product nameDescriptionPrice
Quantity
Total Amount
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Subtotal $ -
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Shipping:
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Premium Shipping Insurance (2.5%)
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In the rare case a tank arrives irreparably damaged by the carrier, and
Tax:included
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the damage is not described on proof of delivery, premium insurance
Grand Total:
$ -
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ensures immediate replacement without shipping fee, as opposed to
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claim-contingent replacement deposit reimbursement and shipping fee
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Payment Information:
Credit/Debit Card: please print and sign the Credit Card Authorization Form:
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http://4fishtank.com/creditcardauthorization.htm
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Note: for credit card orders, shipping and billing addresses must match
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PayPal: please add 2.9% bank charge, and send to "payment@aquavim.com"
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Check/Money Order: Please make payable to "Aqua Vim"
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Mail to: 54-08 46th St. Maspeth, New York 11378
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