SPECIAL ORDER
ORDER ENTRY CUSTOMER#
ORDER DATE 2/9/2004
SHIP DATE
SOLD TO NAME
ORDER TYPE
TERMS
PENINSULAR PAPER COMPANY SHIP SALES ID ROUTE STOP VIA Our truck
SHIP TO NUMBER
ADDRESS CITY
STATE / ZIP
SHIP TO NAME
ORDER#
CONTRACT #1
ADDRESS 1
CONTRACT #2
ADDRESS 2
PO #
CITY
STATE
ZIP
CREDIT APPV.
SPECIAL INSTRUCTIONS 1) ______________________________________________________________________________________________________________ 2) ______________________________________________________________________________________________________________ ORDER ENTRY COMMENTS: _______________________________________________________________________________________ ITEM NUMBER
DESCRIPTION
QUAN
U/M
CODE
PRICE
CS
TAX Y/N Yes
____________________________________________________________________________________________P.O. COST _____ _________________________________________________________________________________________LOADED COST _____ __________________________________________________________________________DEVIATED/LAST/SPECIAL COST _____ ITEM NUMBER
DESCRIPTION
QUAN
U/M
CODE
PRICE
CS
TAX Y/N Yes
____________________________________________________________________________________________P.O. COST _____ _________________________________________________________________________________________LOADED COST _____ __________________________________________________________________________DEVIATED/LAST/SPECIAL COST _____ ITEM NUMBER
DESCRIPTION
QUAN
U/M
CODE
PRICE
CS
TAX Y/N Yes
____________________________________________________________________________________________P.O. COST _____ _________________________________________________________________________________________LOADED COST _____ __________________________________________________________________________DEVIATED/LAST/SPECIAL COST _____ SIGNED:
NAME & TITLE:
PLEASE PRINT
_
SPECIAL ORDER MERCHANDISE IS NOT RETURNABLE (other than that found to be defective in manufacture.) The above signed customer or authorized agent of same hereby acknowledges that the order placed herein is a “special order” for goods to be specifically ordered, manufactured, printed, cut or in some way modified for the customer’s needs, thereby rendering them unsuitable for sale to others. Therefore, the above signed customer, in consideration of the acceptance of this “special order” by Peninsular Paper Company, agrees to be responsible in the event of cancellation of this order by the customer for all costs incurred by Peninsular Paper Company in the handling and filling of the order through the date that Peninsular Paper Company receives and acknowledges the written cancellation of this “special order”. The above signed customer further acknowledges and agrees that in the event cancellation is requested after ordering, manufacturing, printing, cutting, or modifying of the goods is completed that customer will be responsible for the entire costs reflected on this order including all costs of collection of monies due from this order including a reasonable attorney’s fee. All prices, quotations, and/or contracts subject to contingencies of transportation, strikes, acts of God and any other unavoidable accidents or causes beyond our control. All quotations are based on immediate acceptance and subject to change without further notice.
ORDER ENTRY
SPECIAL ORDER
PENINSULAR PAPER COMPANY
All claims must be filed within 24 hours. Merchandise accepted for return after 15 days subject to restocking charge. Any merchandise accepted for return is accepted for credit or exchange only; No Cash Refunds. Accounts not paid within 30 days subject to 1 ½% per month service charge on unpaid balance. MINIMUM BILLING $75.00. Should it become necessary to collect monies due resulting from this sale, you hereby agree to pay all costs of such collection, including a reasonable attorney’s fee. MAIL REMITTANCE TO P.O. BOX 1197, TAMPA, FL 33601