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MERCHANDISE PURCHASE
ORDER #
SPECIAL ORDER FORM ____________
Ordered BY: MH, PK, FA,
Date Requested: ________________ AS, _____
Date Ordered: ________________ Confirmation / Order #:________________
Vendor Info:
Estimated Ship Date: _______________
Company Name: ___________________
Customer Info:
Account # : _______________________
Name: ______________________
Spoke w/ : ____________________
Acct #: ______________ Order method: Phone Email Internet
Item Info:
QTY Size Description (Color, Style name / #, specs, etc.)
Cost - $__________ MCC Price (add S&H)-$__________ Order Taken By: MH, PK, FA, AS, SG
Shipping: Standard / Rush/ Overnight Actions Taken:
Address if not Pro Shop __ Called
Name __________________________________ __ Email Sent
__ In Locker
Address: ___________________________
__ In Shop
City: _____________________ St: ______ Zip: _________ __ In Bag in the Bag Room
Phone: ____________________________ __ Picked Up
Payment Information: Inventory/Billing: Date Initials
__ Bill to Account Name: ____________________
Received in Shop ________ _________
Entered in Inventory ________ _________
__ Credit Card Card # ____________________
Billed ________ _________
__ Cash Exp. Date _____ Sec Code____ Billed S&H $________ _________
Special Instructions: Notes / Comments / History / Embroidery / Date Needed / Gift for / etc.
