J.W. Davis & Company

PURCHASE ORDER

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Purchase Order #  

Person Placing Order
Company Name

Account ID
       
Phone
Fax
E-mail
 

QTY

ITEM NO

 DESCRIPTION

SPECIAL SHIPPING INSTRUCTIONS?  If so, Indicate below.

Company Name
Address 1
Address 2
City
State
Zip Code

NOTE:  This order will be confirmed upon receipt or, if placed during non-business hours, at the earliest business hour following receipt..

Always look for...      "The mark of the professional"
 

Toll Free 1-800-527-5705 · Toll Free Fax 1-800-388-9106 · (214) 651-7341 (Dallas) · Fax (214) 939-0328

3030 Canton Street · Dallas, Texas 75226 · www.jwd.com · jwd@jwd.com