Read Purchase Order Template text version

* Completing all fields will help us expdite the processing of your PO. Form should be copied onto company letterhead From: To

Purchase Order

PO # / Ref: Cantata Technology 15 Crawford Street Needham, MA 02494 USA

Ship To Address

Bill To address:

Buyer Contact: Name: Phone: Email:

Date

Partial Allowed ? Yes / No If not designated, will default to "Yes"

Ship via

Payment Terms If credit card, please complete below

If other than Federal Express, please provide account number

Credit Card

Credit Card Number Expiration Date Name as on card Item Number Description Quantity Your unit Price Extended Price

Sub Total Shipping charges (all orders ship FOB, cost will be assessed at time of shipping) Total

All orders subject to Cantata Terms and Conditions attached here to, and/or at www.cantata.com/workingwithus

3.01.P04.F23 Rev A

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Purchase Order Template

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Purchase Order Template