Credit Card Charges will not be applied until date of shipment. Shipping
 Charges will be added to total. An Order Confirmation will be sent to you
via Fax or E-mail. You may also print and out and fax this form to us.
Ordering Information
Company Name:
Contact Name:
Billing Address:
City:
State:
Zip Code:
Country:
Phone:
Fax:
E-mail Address:
Product Information
Qty Item # Price Item Description
Payment and Shipping Method
Prepay   COD   or  Credit Card Number:
Visa  Mastercard Discover American Express  Exp Date:
 Name: (As it Appears on Credit Card)
 
Shipping Method: Requested Ship Date:
Purchase Order:  
Shipping Address (If Different From Billing Address)
Contact Name:
Address:
City:
State:
Zip Code:
Country:
Special Instructions
Terms & Conditions
Prices Subject to Change without Notice, Minimum First Time Order: $100, All First Time Orders Shipped COD Or Prepay, Visa & MasterCard Accepted, Net 30 Upon Credit Approval, Shipping FOB Tennessee, Warehouse, Custom Orders Require A 50% Deposit, All Orders Shipped In 3 - 5 Working Days - Except Custom Orders, All Returned Checks Are Suibject To A $25.00 Service Charge, Shortages And Claims Must Be Reported Within 5 Days Of Receipt, A 25% Restocking Fee Will Be Charged On All Returns, Accounts Past 60 Days Will Be Placed For Collection, Customer Will Pay A Finance Charge Of 1.5% Per Month On All Past Due Accounts And All Reasonable Attorney's Fees And Costs Incurred In Any Collections Of Past Due Accounts, This Contract Of Sale And Terms Of Conditions Herein Shall Be Governed By And Construed And Enforced In Accordance With The Laws And Decisions Of The State Of Tennessee
Orders (800) 762-7309
Phone (615) 599-8077
Fax (615) 599-8078
E-mail scott@southernsales.com
 
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