Purchase Order - Forms Creator

Purchase Order

Step 1 of 11

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User Email*
What is the purchase order number and date on which the purchase will be made?
Order number:
Purchase date:
Who is placing the order?
Purchaser Name:
Address
Address: City State / Province / Region ZIP / Postal Code
Phone number:
Email

Who is the Vendor?
Vendor Company Name:
Address
Address: City State / Province / Region ZIP / Postal Code
Phone number:
Email
Website

How many unique items are being purchased from the Vendor?
Number of unique items:

What is the first item you would like to add to this purchase order?
What is the item (or service)?:
What is the quantity ordered?:
What is the price ($) per unit for this item?:
What is the item ID number (if available)?:

What is the second item you would like to add to this purchase order?
What is the item (or service)?:
What is the quantity ordered?:
What is the price ($) per unit for this item?:
What is the item ID number (if available)?:

Please provide the following information for the third item being purchased.
What is the item (or service)?:
What is the quantity ordered?:
What is the price ($) per unit for this item?:
What is the item ID number (if available)?:

Please provide the following information for the fourth item being purchased.
What is the item (or service)?:
What is the quantity ordered?:
What is the price ($) per unit for this item?:
What is the item ID number (if available)?:

Please provide the following information for the fifth item being purchased.
What is the item (or service)?:
What is the quantity ordered?:
What is the price ($) per unit for this item?:
What is the item ID number (if available)?:

What is the tax rate that will apply to this transaction?
Tax rate (%):
Total tax ($):
How will the order be shipped?
Shipping service (e.g. USPS, Fedex):
Shipping method (e.g. overnight delivery, 2-day shipping):
Expected delivery date:
Shipping charge ($):

Is there going to be a discount given for this transaction?
Discount?:
- Yes
- No
Discount rate (%):
Discount ($):

Where will the order be delivered?
Company name:
Recipient name:
Address
Address: City State / Province / Region ZIP / Postal Code

${input_25_6} ${input_25_7_2}, ${input_25_7_3},${input_25_7_4},${input_25_7_5} Phone :		PURCHASE ORDER
		P.O. # ${input_25_3} ORDER DATE: ${input_25_4}
VENDOR	${input_25_12}, ${input_25_13_2}, ${input_25_13_3},${input_25_13_4},${input_25_13_5} Phone :	SHIP TO	${input_25_67} ${input_25_68} ${input_25_69_2} ${input_25_69_3},${input_25_69_4},${input_25_69_5}

SHIPPING SERVICE	SHIPPING METHOD	DELIVERY DATE
${input_25_56}	${input_25_57}	${input_25_58}

Quantity	Item #	Description	Unit Price	Line Total
${input_25_22}	${input_25_23}	${input_25_24}	${input_25_25}	$0.00

Subtotal	$0.00
Sales Tax	${input_25_53}
Shipping Charge	${input_25_59}
Order Total	$0.00

__________________________________

Vendor Signature

__________________________________

Customer Signature