Order Form And Price List Merchandise
User Manual: Merchandise Order Form
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Order Form Mail To: Auralex Acoustics, Inc. 8851 North Hague Road Indianapolis IN 46256-1284 Or Fax To: (317) 842-2760 Questions?: Call (317) 842-2600 Today’s Date ____________________ Name ____________________________________ Co. Name ___________________________________ Shipping Address _________________________________________________________________________ City ________________________________________ State _____ Zip _____________________________ Phone ___________________________ Ext. _____ Fax ________________________________________ Billing Address (if different) ________________________________________________________________ City ________________________________________ State _____ Zip _____________________________ Have you received our catalog? Yes No Is this order to be drop shipped? Yes No If yes, to whom? _______________________________________________________________________ (Give name, address, _______________________________________________________________________ city, state, zip and phone number of drop _______________________________________________________________________ shippee) * If ordering for a company & it is tax exempt, include a copy of the firm’s tax certificate for our files. QTY. ITEM DESCRIPTION & SIZE COLOR PRICE EA. EXT. PRICE ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ See Price List For Exact Prices & Freight Charges ____________________________________________________________________________ (IN. 5%) ____________________________________________________________________________ Shipping ____________________________________________________________________________ Grand Total PAYMENT INFORMATION Purchase Order (fax a copy; prior approval must be granted) Payment In Advance (personal & co. checks held for clearance) American Express MasterCard Visa Discover Expir. Date On Card ___________ Card # __________________________________________________________ Printed Name On Card (very important!) _________________________________________________________ Signature Of Order Placer (Even If Not Paying By Credit Card) _____________________________________ This order form constitutes a legal, binding agreement to purchase. All sales are final regardless of method of payment. Customer pays all collection fees & attorneys costs and in event of dispute, the courts of the State of Indiana shall have jurisdiction. By signing above customer agrees to all terms & conditions stated on this document, in the Auralex catalog & as discussed with representatives of Auralex. If purchasing for a group, signer vouches that authorization exists to make this purchase. Seller disclaims all liability associated with this sale. Buyer determines fitness for his or her intended usages.
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