For phone orders call: 800-Y-TANG-SO "BECAUSE IT WORKS" (9am to 8pm e.s.t.).
| Fax Purchase Order P.O. Number: |
West Boca Karate Center 11435A Plametto Park Road Boca Raton, FL 33428 561-482-9049 Fax: 561-482-1896 (24 hours) |
|||||
| To:
|
Ship To: (if different address) E-Mail Address: _______________________________ | |||||
| PO DATE |
PLACED BY |
Date Expected |
SHIP VIA |
WBK REP |
TERMS |
|
| QTY | DESCRIPTION | UNIT PRICE | TOTAL | |||
| . | . | $ | $ | |||
| . | . | $ | $ | |||
| . | . | $ | $ | |||
| . | . | $ | $ | |||
| ________________________
Phone Number: ___________________________ |
Shipping & Handling | . | ||||
| Subtotal | . | |||||
| Sales Tax Rate | . | |||||
| Sales Tax | . | |||||
| TOTAL DUE | . | |||||
| Note: Please make all checks payable to "West Boca Karate" | |||
| We Accept VISA, Master Card, and American Express | |||
| Card Number ______________________________ Exp. Date: ______________ | |||
| Please circle charge card | VISA | MASTER CARD | American Express |
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