The Free Energy Store Purchase
Order
Where Free Energy Rules
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300 W. Utah Ave. Suite 101 Las Vegas, Nevada 89102-2756 Phone: 702-320-0770 Fax: 702-320-0270 |
P.O. # DATE: |
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Order From: .
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Ship To: (Must be a street address ) |
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SALESPERSON |
P.O. NUMBER |
SHIP DATE |
SHIP VIA |
F.O.B. POINT |
TERMS |
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QUANTITY |
DESCRIPTION |
UNIT PRICE |
AMOUNT |
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Ea |
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Ea |
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Ea |
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Ea |
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Pay by check, or credit card. Or US Postal money order. |
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Credit card type__________ Exp Date:____Mo.____Yr. |
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Card Number_______________________ |
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Name on card_______________________ |
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Note: Freight paid to your door. Within the Continental 48 States. Shipped via UPS |
SUBTOTAL |
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Nevada only Tax 7.25 |
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TOTAL DUE |
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The Free Energy Store.
If you have any questions concerning this order, contact Russ, 702-320-0270, Russ@TheFreeEnergyStore.com
THANK YOU FOR YOUR BUSINESS!