Price Busters Wholesale Order Form

Welcome to the order form instruction page for Price Busters

Below you will find and example of how to fill out our order form. Please
use this example as a guide to help facilitate your order.

Price Busters

1117B East Center St., Madisonville KY 42431
Phone 270.821.7100
Fax 270.821.7105

Wholesale Order Form (Sample)

(Minimum $500.00 Total Order)
(All sales by case lots only. No individual item sales)

Customer Name

John C. Person

Date

05-15-00

Address

1117B East Center St, Madisonville KY, 42431

Phone

270-825-9861

Quantity (# of Packs)	Item # Description	Units per Case/PK	Unit Price Each	Amount
1	3/8" Air Ratchet	6	11.50	69.00
1	Mini Angle Grinder	3	19.50	58.50
2	25 Piece 1/2" Socket Set	5	6.00	60.00




			Total >	187.50
	Kentucky Add 6% Sales Tax			x 0.06
			Write Sub Total Here>
	Add Shipping Cost (calculated at Price Busters)
	Total (will be confirmed prior to filling order)			TOTAL

[ ] I certify that the merchandise listed on this invoice is for resale and I have a valid tax number.

Signed: ________________________________________________________________________

15% restocking fee on all return merchandise.