SKC Quick Order Form PDF Fax Int'l

User Manual: Fax Order Form Int'l

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SKC Quick Order

800-752-8476

724-941-1369 (Outside U.S.)

Bill To

Ship To

(Must match address on credit card account)

(If different-complete)

Name _________________________________________

Name _________________________________________

Company ______________________________________

Company ______________________________________

Address _______________________________________

Address _______________________________________

______________________________________________

______________________________________________

Div/MStop/Ste# _________________________________

Div/MStop/Ste# _________________________________

City __________________________________________

City __________________________________________

State ___________

State ___________

Zip Code ___________________

Zip Code ___________________

Phone ________________________________ (required)

Phone ________________________________________

A/P Contact ____________________________________

Email _________________________________________

Email _________________________________________
Catalog No

Description

Qty

______

______

New Account

Total

Total

Method of Payment
______

Price/Ea

(Completed credit application required)

Special Instructions __________________

Bill SKC Account # ______________________

______________________________________________

Net 30 to accounts with existing credit

______________________________________________

Purchase Order No. _____________________

______________________________________________
______________________________________________

______ MasterCard

______ VISA

______ AMEX

______ Discover

Card # ________________________________

Shipping Method
FOB Shipping Point

Exp Date _________ Security Code ________

Carrier ________________________________________

Signature ______________________________

Cust. Freight Acct # ______________________________

Name on Card __________________________

Partial Ship? ___________ Yes

_____________ No

SKC Inc.
863 Valley View Road, Eighty Four, PA 15330 U.S.A.
Tel: 800-752-8472

Fax: 800-752-8476
724-941-1369 (Outside U.S.)

www.skcinc.com



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XMP Toolkit                     : Adobe XMP Core 4.0-c321 44.398116, Tue Aug 04 2009 14:24:39
Format                          : application/pdf
Creator                         : SKC Inc.
Title                           : SKC Quick Order Form PDF Document
Description                     : SKC Quick Order Form PDF Document
Subject                         : SKC Quick Order Form PDF Document
Create Date                     : 2010:06:04 16:33:41-04:00
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Modify Date                     : 2010:06:09 16:18:48-04:00
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Keywords                        : SKC Quick Order Form PDF Document
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Instance ID                     : uuid:2009fbb9-3ccf-46b0-b7f9-50adfb7873ca
Page Count                      : 1
Author                          : SKC Inc.
EXIF Metadata provided by EXIF.tools

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