| CMT PURCHASE ORDER FORM | CMTINC.COM 413 SW Jefferson Ave. Corvallis, OR 97333 USA |
Email: support@cmtinc.com |
| Company Name: | _______________________________________________________ | ||||
| Invoicing Address: | Attention: ____________________________ | ||||
| _______________________________________________________ | |||||
| City | ____________________________ | State | ________________ | ZIP | _______________ |
| Phone: | _______________________ | Fax: | _______________________ | |
| Shipping Address: | Attention: ____________________________ | |||
| (if different) | _______________________________________________________ (No P.O. Boxes please) |
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| City | ____________________________ | State | ________________ | ZIP | _______________ |
| Phone for Shipping Address: _______________________ | ||||||||
| Email: __________________________ Contact: (if different) ________________________ | ||||||||
| CMT Part # | Item / Description |
Qty | List Price | Extended | ||||
| ______________________ | _____________________ | ___ | ___________ | ___________ | ||||
| ______________________ | _____________________ | ___ | ___________ | ___________ | ||||
| ______________________ | _____________________ | ___ | ___________ | ___________ | ||||
Shipping
& Handling Charge: |
___________ | |||||||
| Total : |
___________ | |||||||
** Please figure $15 for regular 2-DAY domestic
shipment of a small package (up to 2 lbs).
Standard domestic shipment is via FedEx 2-DAY service.
Any duty and taxes are the responsibility of the purchaser.
If purchasing software upgrade or hard
key, please provide the serial number from the software CD:
____________________________
Also specify the type
of hard key: parallel printer port ________, or USB port ________.
| Payment
Terms (circle): |
Net
30 |
Check |
Wire Transfer |
|
|
| Signature for Authorization : _____________________________ |
Date:_______________ |
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| PO# (if applicable): | _______________ |
Please click on File/Print to print out the form then FAX completed form to (541) 752-4117. For order assistance call CMT at (541) 752-5456.