Page 69 - Spring order rev 4
P. 69
ORDER FORM
2021 SPRING ORDER
PHONE: 800-447-2040 - FAX (717) 299-4404 promo code: "SPRING ORDER” www.johnelandis.com
S JEL Account #
O
L
D DATE:
T
O NOTE- For all orders called in or by dealer portal ref. "SRING ORDER"
ORDER DATE CUSTOMER P.O. # PHONE INSTRUCTIONS / NOTES
BUYER’S NAME
TERRITORY MGR HOLD BACK ORDERS? SHIP NOW
NAME: YES NO SHIP AFTER
QUANTITY STOCK NUMBER STOCK NUMBER UNIT PRICE EXTENDED PRICE
ORDERED
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
TOTAL
Thank You
BUYER INSIDE SALESMAN NAME:
66
