Horn
Packaging Corporation - Order Form
Print the form
out and fax it to Horn at 999-999-9999
If you have any
questions about ordering our products or have any questions please
call us at 999-999-9999
Sold to: Ship
to: (check if different from billing)
Company Name:
_________________________________ ____________________________________
Street Address
____________________________________
_________________________________
City, State & Zip Phone #_____________________________
_________________________________ Fax #_______________________________
e-mail _____________________________
PO#
_________________________________ Purchaser's Name ____________________
Ship Via Horn
Truck FedEx UPS Other _________________________
Account # ___________________________________________
Shipping instructions
Restricted Access Yes No Restricted = City Box
Residential Area Yes No Residential = City Box
Loading Dock Yes No No Loading Dock = Hand Unload
Handling Equipment Yes No Fork Lift / Pallet Jack
Call B4 Delivery Yes No
Other Special Instructions __________________________________________________
Method of Payment
Horn Account Visa Mastercard American Express
Card # _______________________________________ Exp. Date _________________
Card issued to _________________________________
Tax Exempt #(if applicable )__________________________________
Unit Total
Quantity File # Description Price Price
Call for current pricing
999-999-9999